Helpful Forms

The following forms are designed to help us work together more easily: 

In order to meet COVID19 Pandemic Considerations and/or Requirements to reduce exposure to the COVID19 virus, all paperwork should be printed and completed at home. Please bring to your appointment. This will help reduce time in the office and using shared objects such as pens and clipboards. Thank you!

The Client Intake Form is your basic information and health history. This will help me to assess what type of massage will work best for your needs. 

The MN CAM Client Bill of Rights is a form that gives you information about me and my practice, as well as informs you of your rights as a recipient of Complementary and Alternative Therapies.  It is legally required to be in your client file.

The COVID19 Health Checklist is required to be completed at home and brought to your appointment starting June 1st, 2020. You can also fill out this form and submit it online at this link: COVID19 FORM

The Specialty Services Informed Consent provides your rights of informed consent of the services provided in the office that may have additional contraindications or considerations.

I NEED ALL FORMS FOR YOUR FILE
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TSRM Intake 2019

Intake Form to receive services from TSRM. A completed form is required for service to insure appropriate care is given.

Specialty Services Waiver

Restrictions for specialty services offered at TSRM

MN CAP LAW

Because the State of Minnesota does not have a Statewide Massage Therapy License, practitioners are required to inform all clients of their training and credentials prior to receiving massage. Please review this form prior to your appointment.

COVID19 Health Checklist and Informed Consent Form

As part of T&SRM COVID19 pandemic preparedness plan, this checklist needs to be filled out prior to arriving for you appointment and brought to your session.

Note: To download Adobe Acrobat Reader for free, click here.