If you are a first-time client or a returning client needing to update your information, please click on the following link to print a blank intake form. Then fill it out, and bring it to your appointment. 

          Serenity Massage Intake Form

 

Here are some other forms that you may find useful:

Labeled diagrams of body parts for assistance in communicating with healthcare professionals:

          Body Map for Clients

A simple permission form for a physician or chiropractor to fill out in cases where a client has a condition requiring permission to receive massage or bodywork. I don't require this specific form, this link is merely to provide you with an acceptable example:

           Physician's Permission form

A simple referral form for a physician, physical therapist, or chiropractor to fill out when requesting that I perform specific work.  I don't require this specific form, this link is merely to provide you with a basic example.  If you are planning to file an insurance claim, you should probably check with your insurance or healthcare provider to obtain their specific form.   

          Physician's Referral form