Health History Form

By filling out a health history form, your therapist will be able to provide a safe and effective treatment.  All of the information on the form is kept confidential.

Please print off and fill out a health history form before your first scheduled appointment:

Mobile Massage:

Health History Form (Word) OR Health History Form (PDF)

Massage Therapy at Vertical Reality

Health History Form (Word) OR Health History Form (PDF)

AND

Waiver (PDF)

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