Forms

If you are a new client, please print, fill out, and sign both the Policies & Procedures and Confidential Client Intake Form. Scan and electronically send your completed forms to us (see instructions below) or bring these completed forms with you to your first massage session. Clients must have these forms on file before massage therapy can begin. If you are a returning client, you will only need to complete and submit a Client Health Update for each session. If you wish to fill out your form at the time of your appointment, please arrive 15 minutes early so that you can fully benefit from a full hour session.

Important Note: All client files are kept strictly confidential. No information contained in these forms will be shared with anyone, including other healthcare practitioners, without your signed consent.

Select form(s) to print:

Policies & Procedures

Confidential Client Intake Form

Client Health Update

If you have any questions,
or need assistance in filling out or sending these forms,
please contact us.
We're happy to help.

Submit Your Forms Electronically

     If you have a scanner (which most printers are now capable of doing), you can easily send your completed forms to us by following these simple steps:
           1)   Select the forms from above and print.
           2)   Fill out the form(s) completely.
           3)   Scan each completed forms (both sides, if applicable) and save to your hard drive.
           4)   Go to the CONTACTS page and fill in the required fields
           5)   UPLOAD YOUR FORM* and click the SEND button     OR
           6)   Scan and send all your forms by email as attachments.
     Upon successful submission, you will receive an email from us, letting you know that we received your forms and will get in touch with you within 24 hours of receipt. That's it! Of course, if you need assistance, encountered any issues, or have questions, please feel free to call or email us.

* Note: Forms can only be uploaded one at a time for electronic submission via the contacts page. If you wish to send more than one form, you can send via email as attachments.

Submit your forms online

*** Massage should not be considered as a replacement for professional medical treatment: a physician should be consulted in all matters relating to health and especially in relation to any symptoms that may require diagnosis or medical attention. In some cases, a primary physician’s approval/prescription is required before any bodywork is administered. Care should be taken during pregnancy, particularly in the use of essential oils and pressure points. Essential oils should not be ingested, and should be used for babies and children only on professional advice.

833 SE Main Street #428, Portland, Oregon 97232 * (503) 477-2857 * OR Business Registry #71258-96 * EIN 90-045544
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