Intake Form Press on a BLUE link which will take you to the INTAKE form. This form is designed to fill out online only for your safety based on HIPAA requirements.
All patients must fill out an Intake Form by the law in the United States. This is information that will help us give you the best and safest service we can.
This form needs to be signed by a client if he or she needs to release any information for court, doctors or insurance representatives from Authentic Massage Therapy LLC office.