Moonflower Massage & Wellness, LLC

Client Forms

Intake form

All clients are required to fill out a health history intake form prior to their first service.  This form must be updated once a year to maintain accurate records. Please fill out this form in advance to your appointment.

Formulario de Admisión - Español

Todos los clientes deben completar un formulario de admisión de historial de salud antes de su primer servicio. Este formulario debe actualizarse una vez al año para mantener registros precisos. Por favor, llenar esta forma antes de su cita.

Physician's Permission form 

Doctor's clearance is required for anyone currently prescribed a blood thinner, or has had a procedure or surgery in the past 6 weeks, or if it is otherwise requested by the massage practitioner. This is for your health and safety. Please have your healthcare provider fill out this form (or write the equivalent information on a script paper) and return it to us by the start of your appointment. 

Associated Bodywork & Massage Professionals
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