Shelby Strategier, Therapeutic Massage

Client Forms

Please print and  fill out the following forms prior to your first visit; this information helps me to ascertain any contraindications and how to best provide effective treatment for you.

Health Information form

Screening Questionnaire form

Body Map for Clients

 

If, at any time during yoru treatment regimen, there are changes in your health that you think I need to be aware of, please print the udpate form and submit with the new information. 

Health Status Update form

 

Your Feedback is welcome!

Client Feedback form

 

If you are able to get reimbursed through your health insurance for massage, here are some forms that could be helpful for you to get the process going.

Physician's Permission form
Physician's Referral form
Billing Information form

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