Integrated Movement & Massage Solutions

New Client Forms

If you are a new client, please download, print and complete the Life Style Survey (optional), Client Intake Form and the Brief Health History form below.

Complete each form and bring them with you to your first appointment.

 

Call 860.796.3433 if you have any questions.

 

 

New Client Intake Form

Provides basic information regarding client. Name, address, phone, etc. Please complete and bring with you to your first appointment.

Brief Health History

Provides basic information regarding your health history. Will be used to develop a specific treatment/massage strategy.

Life Style Survey

Information to provide a more comprehensive treatment strategy.

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