Body Works Wellness Center

Receive ~ Nourish ~ Thrive

Intake & Health Forms

Greetings! 

 

Below you will find many helpful document forms. As a new client receiving bodywork healthcare at GMB you will be required to complete a Health History Intake form.

The Oregon Board of Massage Therapists, and the American Medical Association require this practice of documentation. It is also very helpful for your practitioner to have information about your health history in order to best provide to you. 

If you would like to prepare in advace for your Initial Bodywork Treatment session by printing out and completing the Health Information Form please feel free to do so. If not, you will be provided a copy in the waiting area of GMB at the time of your first scheduled session. 


Health Information form


Screening Questionnaire form

 

Body Map for Clients

 

Health Status Update form

 

Client Feedback form

 

Physician's Permission form

 

Physician's Referral form

 

Billing Information form

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