Forms
Underneath you will find Forms to Download if you wish to have them, printed and filled out before your session.
Some of them take some time to fill out as they are comprehensive.
Please read all descriptions and make sure you get all the forms you need
They contain medical question pertaining to you and your health, please fill out to the best of your knowledge
We are HIPAA Compliant
Cancer survivors in-treatment or in recent-recovery (6 month after last treatment date) as well as patients with lymphdema have to get a physicians release form signed and bring that for your first appointment here.
Long term survivors do not need a physicians release form signed
Simply click the icon next to the text for the files you need
If you are experiencing problems with the forms, you can email us and we will send you the form by email.
Massage Intake
Standard Intake Form
Should be filled out by ALL clients
Oncology Massage Intake
Oncology Intake Form
Should be filled out if you are a Cancer survivor
In-treatment
Recent Recovery
Long Term Survivor
Lymphedema Intake
Lymphedema Intake Form
Should be filled out if you have Lymphedema in one, or more areas
Physicians Release
Physicians Release Form
Should be filled out by Lymphedema Patients and Cancer survivors, in-treatment or recent-recovery