MASSAGE FOR MEDICALLY COMPLEX PEOPLE
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Welcome! All new clients will want to read my HIPAA, policy statement and no diagnosis documents to get oriented to my practice. The documents are in PDF file format.   
  • If you are coming for bodywork, please complete the brief massage intake form and bring to your first session.  
  • If you are seeking interactive hypnosis, please complete the clinical hypnosis intake form and bring to your first session.  
  • If you have experienced a motor vehicle injury, please also read the Motor Vehicle Accident document, complete the patient's insurance form and the
    medical massage intake form and have your attending chiropractor or doctor complete the physician's prescription form which is also required for treatment.

Forms List:
  • Brief Massage Intake
  • HIPPA
  • Clinical Hypnosis Intake
  • Medical Massage Intake
  • Motor Vehicle Accident 
  • No Diagnosis Provided
  • Patient Insurance
  • Physician's Prescription
  • Policy Statement

Please call 503-232-7282 or CONTACT ME for more information!

Also, check out my REFERRAL PROGRAM!
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  • Home
  • Bodywork
  • Events/Classes
    • Qigong
    • Yoga
    • Online Classes & Coaching
  • Hypnosis
  • About me
    • Testimonials
  • Blog
  • Contact Me
  • Forms
  • Books