New Clients:  If you are a new client, please fill out the two forms below.
Health Information form

Body Map for Clients

Returning clients: Please fill out this form.

Health Status Update form

Physician Referrals: Clients who are being referred for massage treatment from a physician should have these two forms signed by the referring physician.

Physician's Permission form
Physician's Referral form

Insurance Billing: I do not accept insurance.

 

Client Feedback: If you would like to provide feedback to Kathleen please fill out this form.

Client Feedback form