Specialized Therapeutic Massage of CNY

Client Forms

Health Information Form  -Complete before any treatment.


Screening Questionnaire Form - Complete before any treatment, Insurance Cases only.


Body Map for Clients - Indicate areas of pain, Insurance Cases only.


Health Status Update Form - Complete upon request, before reexamination.


Client Feedback Form Complete to survey our performance.


Physician's Permission Form - Complete upon request.


Physician's Referral Form - Complete upon request.



Associated Bodywork & Massage Professionals
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