Shallon's Touch
Massage Therapy & Reflexology

Client Forms

If you are a first time client and would like to save some time. Please feel free to print and fill out your forms before your appointment. Then just bring them with you. You can also email the completed forms before your appointment.


Health Information form
Screening Questionnaire form
Body Map for Clients
Health Status Update form
Client Feedback form
Physician's Permission form
Physician's Referral form
Billing Information form

 

First Time Client Intake Form

HIPPAA Privacy Authorization Form

Associated Bodywork & Massage Professionals
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