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

New clients!  In an effort to save you time, 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.  If you are unable to complete this ahead of time, plan on arriving 5-10 minutes early.  New client forms for Fascial Stretch Technique will be given upon arrival.

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 convienience 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



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