Forms
 

Wholeness

Therapeutic

Massage

Feel Whole Again...

Body, Mind, and Spirit
 
                                                 Forms
 
 

 
 
 
 

 

Forms for First Appointment

If this will be your first time with Wholeness Therapeutic Massage, please print and fill out these forms before your appointment.  It will save you some time and frustration.

  1. Client Information
  2. Client Health History
  3. Client Status Report
  4. Client Financial Agreement
  5. Client Informed Consent

 

 

 

 



 

 

 

 

 

 

 

 

 

   

Forms for Consequent Appointments

 
   

After your first appointment, you will only need to fill out one (1) form every time unless your health or personal information changes.

  1. Client Status Report