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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