Kari4Massage
Providing Custom Therapeutic Massage

Covid-19 Forms

Thank you in advance for your patience. Forms must be filled out the day of your appointment / within 24 hours or will be considered null and void. If you would like to print and complete prior to appointment, kindly make them 2 sided 1 page copies. I also have copies available at the office. 

For new clients you will need to complete the New Client Form + Health Information & Informed Consent Form (2 forms total)

For existing clients you will need to complete the Health Information & Informed Consent Form for every massage appointment. (1 form total)

If you are a new client some are repeat questions so thank you for your cooperation.

https://kari4massage.abmp.com/files/Screening-Questionnaire_COVID.pdf - New Client Form

https://kari4massage.abmp.com/files/ABMP_COVID_addendum_details.pdf  - Health Information & Informed Consent Form

 

Additional Forms Available Upon Request:
Body Map for Clients
Physician's Permission form  (If you are under the care of a Physician please bring this form completed with you to your appointment)
Physician's Referral form

Associated Bodywork & Massage Professionals
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