Providence Medical Massage

Helpful Forms

The following forms are designed to help us work together easily:

New Client Health History

This is a standard questionnaire informing your therapist of any past or current health conditions.

General Liability and Consent Release Forms

These forms serve as legal consent to receive massage therapy services.

HIPAA Authorization

Health Privacy Notice to Patients

Minor Liability Release Form

This form allows a parent or legal guardian to give permission to perform massage on a minor client.

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