AWARENESS Massage and Wellness Center
Breathe Easy! Move Freely! Live Healthy!
CLIENT FORMS

New clients!  Please print out and complete this 3 page form which includes a Health History Form, a Consent Form, and a Guidelines Agreement.  This must be completed prior to your scheduled appointment time.

1.  First-time Client HEALTH/HISTORY FORM

 
If you are currently under the care of a medical professional for a specific medical conditon, you may require permission or an actual referral from your primary care practitioner prior to receiving a massage therapy treatment.  For your convenience please print out these forms and bring it to your Doctor for review and completion as needed.
* If you bring in a prescription for Massage Therapy from your physician or other medical professional, you will receive your treatment tax free.

2.  Physician's REFERRAL FORM
3.  Physician's PERMISSION FORM


  

BREATHE EASY!   MOVE FREELY!   LIVE HEALTHY!

Associated Bodywork & Massage Professionals
Member, Associated Bodywork & Massage Professionals 440-231-3824
9853 Johnnycake Ridge Rd, Mentor, OH 44060
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