Full Circle Wellness
Massage, therapeutic massage, reiki, Gua Sha, cupping, hot stones

Client Forms

When you schedule an appointment, as a first time Client you will receive an automated response.  This will include an intake form.  The purpose of this form is to allow me, as a Massage Therapist, to see any medical conditions or medications, that may be affected by massage.  It also allows me to see what it is you need or want to be worked on, the type of massage you prefer, any allergies, injuries (previous or current), etc. You are also welcome to add any other information you feel is important for me to know.  Please rest assured, that your information is safe and Private. LMT's are required to follow the same confidentiality as any health care provider.  So please be honest and complete. 

The following forms are here for your convenience, if you should need to print or review any of them.   

Health Information form
Body Map for Clients

Client Feedback form
Physician's Permission form
Physician's Referral form
Billing Information form

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