Call me directly: 1-209-915-2296
702 Porter Ave Ste J Stockton, CA View on Map
Client Intake Form
Why do you ask these questions?
Acrobat Reader

Client Intake Form

If this is your first appointment with me, please complete the Client Intake Form and bring it with you to your appointment. That way, time will be saved for doing what you really want, receiving a first-class massage!

Download Form

Is this necessary?

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.

Adobe Reader

get acrobat reader

Acrobat Reader is needed to view the Client Intake Form. If you do not have Acrobat Reader installed on your computer, click the Get Reader link below.

Get Reader