Forms

Please bring your completed forms to your first appointment.

First Time Clients

Complete the following:

  • Health Intake Form
  • Consent to Bodywork during COVID-19 Pandemic Form
  • OPTIONAL: Permission to charge card on file

Returning Clients

Complete the following:

  • Consent to Bodywork during COVID-19 Pandemic Form
  • OPTIONAL: Permission to charge card on file

FORMS

PRINT OR DOWNLOAD CONSENT FORM HERE

PRINT HEALTH INTAKE FORM HERE

FILL-IN HEALTH INTAKE FORM HERE

PRINT CREDIT CARD AUTHORIZATION FORM HERE

Bring a completed hard copy to your appointment, or email the completed form to patricia(at)befluidbodywork.com.*

*My email account is fully compliant with healthcare privacy rules (HIPAA), but yours may not be. Email at your own risk.


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