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Client Intake Form

If you have come to this page and have scheduled a first appointment with me, please fill out and print this form before coming to your first appointment.  That way, time will be saved for doing what you really want, which is to receive a great massage!

Click here for to fill out the form (you will need Adobe Acrobat Reader. If you want to save and fill out later right click on the link and choose Save target as (Internet explorer) or Save link as (Firefox))

Why do you ask the questions on the client intake?
The Client intake is my way of getting to know who you are as an individual. It asks questions about your medical history and about your activities, so that I can get an understanding of what may be best for the individual massage I will perform.  Please fill it out as completely as possible so that I can give you the best massage possible.

Do I need to bring a client intake every time I receive bodywork from you?

No you don't.  On the first appointment, I will do my best to gain an understanding of your history and current situation, and then will keep your client intake on hand for future reference.  I do ask, however, that when you come to receive a massage from me and have had changes from what you initially input on your intake form, that you will make me aware. (i.e. If you had surgery since the last time you received a massage, or started a new medication.)