Reiki-Massage Bodyworks LLC

Rest, Relax, and Renew

Client Forms

In order to schedule your time more efficiently, I ask that new clients print and fill out the Health and Consent forms supplied below, and bring a Client Feedback form (optional). 

If you are currently under a physician's care for a specific medical condition, you should check with your physician before scheduling an appointment.  Ask your doctor to provide any pertinent information or recommendations on the Physician Permission Form.  This will enable me to offer you services that are in alignment with your doctor's recommendations for your continued care. 

If you are a physician who is recommending your patient to me for therapy, I ask that you also provide the Physician's Referral Form to accompany them for their appointment.

First-time Client Health History Forms

Client Intake Health and Consent Form
Client Feedback Form

Physician's Permission Form
Physician's Referral Form


Hipaa Form



Associated Bodywork & Massage Professionals
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