Helpful Forms

The following forms are designed to help us work together more easily! Please arrive 10 minutes early if you need to fill out paperwork at your appointment.

For Community Acupuncture, download the community intake and consent forms. Bring these with you to your first visit.

Be Well!

Roots Acupuncture and Wellness Intake/First Patient form

Please fill out this form prior to your first appointment

Minor Liability Release Form

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

New Client Intake Form

If you are a new client, please complete this form and bring it along to your first session.

General Liability Release Form

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

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.

Community Acupuncture Intake Form (First Visit)

Community Acupuncture Intake Forms

Community Acupuncture Consent Form (First Visit)

community consent form

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