Forms

The following forms are designed to help us work together more easily and efficiently.  Please complete them prior to your treatment or consultation, and email them to DrPalmerAcu@gmail.com or bring them with you to your treatment.  Thank you for your consideration.

Massage Therapy Client Intake Form

If you are a first-time massage client, please print this form, complete it, and bring it along to our first session.

Massage General Liability Release Form

This is a standard release of liability for our massage therapy work together.

Acupuncture Intake Form

For new patients interested in a consultation or treatment with Acupuncture or Herbal/Supplement/Homeopathic Therapy, please complete this form thoroughly prior to your visit and bring it along with you.

Injection Therapy Informed Consent

This is a signed consent to receive vitamin or homeopathic injection therapies.

Minor Liability Release Form for Massage

This form allows a parent or legal guardian to give permission to perform massage on a minor client.

Intended Health Benefits Form

This form will help you clarify your goals for your overall health and vitality, including our time together.

Corporate Massage Contract

If you'd like to set up massage for your company as a one-day treat or as a recurring benefit, this contract lays out the details of our agreement.

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