Helpful Forms

The following forms are designed to help us work together more easily:

There is the option of filling all paperwork out online.  This saves trees and easily gets sent back to us and uploaded into our system.  The forms will automatically be sent during the scheduling process and prior to your initial visit.

New Client Intake Form

You have the option of either completing this form or filling out the form that is automatically emailed to you after scheduling your first appointment.

Informed Consent

This allows us to officially treat you, it also gives us the ability to release or obtain information pertaining to your condition to/from other caregivers and/or third-party payers.

Current Medical Condition and Past Medical History

This answers general questions about your health and condition. It also answers vital questions regarding your past medical history

Financial and no-show policy

All appointments are subject to a $50 no show fee. We have the right to discontinue treatment if too many no shows arise.

Minor Liability Release Form

This form allows a parent or legal guardian to give permission to perform massage on a minor client.

Consent to Treat Vulnerable Areas

A new law in WA State which for you, the client, requires consent for treatment of the breast area (pecs), sternum, ribcage, pelvic region, and gluteal massage. Please read and sign.

Massage Therapy Referral form (for prescribing providers)

Referral form that can be faxed back to us at 425-776-6969

Medical Release of Records Request

Fill this form out if you are requesting we fax or forward your medical records on to another provider or third party on your behalf.

Policies and Procedures

This is for your records only

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