Client Forms

For your convenience, please print and complete all of form 1 and the first half of form 2 prior to your massage session; the first half of form 2 is above "Communication checklist with client". 

Feel free to print form 3 to complete following your session as your input is a valuable tool in the work provided to you and other clients. 

If you are under a physician's care for which you are seeking massage, please print the appropriate forms below and have your physician complete prior to your session.

Thank you!

First-time Client Health History form
Screening Questionnaire form
Client Feedback form
Body Map for Clients
Physician's Permission form
Physician's Referral form

The H'art of Giving will be closed September 13-20th, 2011.  I apologize for any inconvenience.  The good news is that I will be in Milwaukee, Wisconsin to become certified for pedatric massage and return with advanced skills to serve my young clients!