Gifted Hands Health Center LLC

Intake Forms

To ensure that your service is successful and safe, everyone is required to fill out our forms before your first initial session. They are designed to help both of us work together for a more smooth session. Please answer all questions honestly and to the best of your knowledge, not leaving out any medication nor medical conditions unmentioned.

New Client/Patient Intake Form

If this is your first session with us we welcome you. Please fill out this form completely. Don't leave any one question blank. If it does not apply to you please write/type N/A

Policies and Procedures

Attached you'll find a form that explains our business policies that must be followed completely. Please review and sign the bottom

Social Media Consent form

We would like your permission to record a half or full massage session strictly for the purpose of more exposure to the business. Of course, all boundaries, ethics and professionalism will be in place.

Liability Release Form

This is a standardized form for release of liability. Please email it to us at angelinabacon@yahoo.com Thank you

Minor Liability Release Form

This form allows a parent or legal guardian to give permission for a minor client to receive a Therapeutic massage for the strict purpose of pain management and/or mental health. Please email the form to us at angelinabacon@yahoo.com Thank you

Prenatal Waiver Form

By filling out this form, it is important that you understand that certain areas must be avoided during your massage. Please fill out the entire form so that we know the health of your pregnancy.

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