It is required by the State of Texas that each client fills out a health assessment form.
A massage cannot be performed without client's name, birthdate, phone number, and medical information. Information provided, by you the client is HIPPA protected by law.
It is the client's responsibility to inform therapist of any changes in their medical history.
If you would like to save time, please click on the follwing links. Client intake form for MASSAGE ONLY, use this form.
Client intake for for REIKI ONLY, use this form.
If you are not 18 years or older, a parent or guardian must accompany you and sign a waiver. Please us this form.
