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Massage Patient Intake Forms

Massage Patient Intake Forms

New Massage Patient Informational Form

This form is needed for your first massage appointment. Please complete and bring with you to your initial appointment.

Compliance Form

Please sign and bring with you to your initial appointment.

Cancellation Policy

Please complete, sign, and bring with you to your initial appointment.

HIPAA privacy notice

Please review and retain for your records

HIPAA sign off

Please sign and bring this form to your first visit.

Insurance Information

Please include any insurance info you can for your first visit.

Surgical History Form

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  • 2316 Wehrle Drive,  Williamsville, NY 14221   (716) 616-9000