New Client Health Intake Forms

All new clients are required to complete a health intake form which provides necessary contact and medical information allowing me to provide the best session for your needs. Any client coming in for a Shiatsu bodywork session can also fill out the Shiatsu intake form which allows for subsequent Shiatsu sessions to be customized to the clients complaints.


If taking a Couples Massage Class then both participants must fill out a New Client Intake form as well as read and sign the Couples Class Agreement.


(These forms are also available at the office to fill out before your session.)


To save time, please print the PDF form(s), and bring the filled out form(s) to your first session.


New Client Intake


Shiatsu Intake


Couples Class Agreement


© 2007-2016 by Akashic Bodywork

PLEASE NOTE: I have closed my practice due to needing to care for my son. If you have a Gift Certificate or Package of sessions, you may redeem them with any one of my colleages. Visit the Massage Therapists page to find out more about them, or contact me with any questions. 8/15/16

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