Client Forms

For your first visit I request that you come to your appointment at least 10 minutes early.

New Client Information

if you would like to fill out a new client information form before coming to your first appointment click on link below.

New Client Form

COVID-19 Information & Liability Waiver

Please complete the following form before every visit to Therapeutic Massage during the Recovery Phases of COVID-19 Pandemic

Health Information–COVID-19 Information & Liability Waiver

If you have been to a COVID-19-impacted area or have been in close contact with a person infected with COVID-19, I ask that you please reschedule your appointment for 14 days past the date of last contact.

Amid the ongoing uncertainty of COVID-19, I have modified the cancellation policy for Therapeutic Massage to offer greater flexibility to all my clients.

Insurance

I do not file insurance but I would be happy to provide you with a receipt that lists the necessary codes and my tax ID# that you may file with your insurance company.  

You must have a prescription from your Doctor or Chiropractor that prescribes Massage or Myofascial Release Therapy.  This prescription will list a diagnosis that will be needed by your insurance company.

Just copy the prescription and the receipt from Therapeutic Massage and file with your insurance company for any reimbursement.