Health Enhancement Therapies
'Real Massage for Real People.'

Client Forms

Please print out forms on two-sides of paper.

Cupping Release Forms:

Cupping Release Form

A Word about Cupping Marks
 

Every New Client:

First-time Client Health History form

HIPAA Disclosure

Auto Injury Cases:

Physician's Prescription & Referral form

Auto Injury Intake Form

Insurance Information (Auto & Work-related cases)

Worker's Compensation Cases:

Physician's Prescription & Referral form

Work Injury Intake Form

Insurance Information (Auto & Work-related cases)

_________________________________________________________________________

Medical Records Release Form

Physician's Permission form

Client Comment Form

Client Feedback form (ABMP)
 

Associated Bodywork & Massage Professionals
© Copyright 2024 Health Enhancement Therapies. All rights reserved.