Erica J. Girth

Intake Forms

Please take a moment to review thoroughly and fill out each of the following forms, prior to your first session. If you have any questions or concerns, I will be happy to discuss with you. Don't hesitate to call, or if you prefer, we can talk in person before your session.

Client Information

Personal Information kept Confidential

Client Pre-Massage Conditions

Helps me to evaluate where we should focus during our session, or areas to avoid.

Canceled or Missed Appointments

I request a 24-hour notice for cancelled or missed appointments.

Client Informed Consent

It is important to me that an agreement is made between us, the client and practitioner, in order for the best course of therapy

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