Body Heart Spirit Wisdom
A gentle yet powerful, whole-person approach to well-being that draws forth your own internal healing, for: improved function; clearer purpose; greater ease & comfort; reduced trauma & pain
Client Forms


Client Forms

Here is a link to the form I use for new clients. It includes a place for you to give me your personal contact information, a summary of relevant issues, and a waiver of liability. Intake Form.pdf



Some of the forms below may be added by request:
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

Associated Bodywork & Massage Professionals
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