Clinic Forms
We always schedule enough time for all necessary forms to be completed upon arrival at our office. However, if you want to save some time, you are welcome to click on the red pdf folders below and complete your paperwork ahead of time.
Please restrain from booking an appointment with us if you,
or anyone in your home has cold or flu-like symptoms.
Just as we take your health into consideration every time you visit us,
we ask that you do the same for us and those we see.
The choices you make, affect everyone around you.
Massage Therapy Forms
1. Massage Therapy Intake Questionnaire
Please print and fill out this form prior to your initial massage therapy session at our office.
2. Privacy Practices Acknowledgement Form
Please print and fill out this form prior to your initial massage therapy session at our office, after you have read the Privacy Practices. To read the Privacy Practices (two pages), please scroll down.
Reflexology Forms
1. Reflexology Therapy Intake Questionnaire
Please print and fill out this form prior to your initial reflexology session at our office.
2. Privacy Practices Acknowledgement Form
Please print and fill out this form prior to your initial reflexology session at our office, after you have read the Privacy Practices. To read the Privacy Practices (two pages), please scroll down.
READ ONLY Privacy Practices Forms
1. Privacy Practices, Page 1 – Read Only
Please read pages 1 & 2 of the Privacy Practices and then fill out the acknowledgement form in the selected session section above.
2. Privacy Practices, Page 2 – Read Only
Please read pages 1 & 2 of the Privacy Practices and then fill out the acknowledgement form in the selected session section above.
Click on either location:
Rates and Hours
BY APPOINTMENT ONLY
Gratuity is not accepted.
The best tip you can give
is the referral of a friend
or family member.
Advanced Massage Therapy,
Clinical Reflexology
and Bodywork
1 hour
1½ hours
2 hours
$150
$225
$300
Chiropractic Care*
Initial Exam
Adjustment
$115
$ 55
*Chiropractic Care is ONLY available
in the Houston location.
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