Body Works Wellness Center

Partner ~ Nourish ~ Thrive

Intake & Health Forms



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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