Call Us: 929-900-4772

Intake Form.

To make your appointment with us as pleasant and comfortable as possible, we ask that you fill out our Intake Form. This form consists of a combination of your general information, medical history, and your consent to receive massage therapy with us. The information you provide will be used to help us plan a safe and effective massage session. Please print and complete the form and bring it to your first appointment. All information will be kept confidential according to HIPAA Privacy Rule (The Federal Health Insurance Portability and Accountability Act).
Thank you!

Click this link to open:?bodono Intake Form

 

Call For Appointment: 929-900-4772

Back to Top
Enter your Infotext or Widgets here...
Share
Share