Pacific Coast Massage Studio

Lori Chute, LMT

Client Forms

Thank you for scheduling your appointment. 

Please arrive 15 minutes prior to your appointment time to fill out appropriate paperwork.

To save you time at your appointment, we have provided the necessary forms for you to print and complete prior to your appointment.  

Please remember to bring them with you to your scheduled appointment.


Every First-Time Client will need to fill out this form:


First-time Client Health History form

 

We would be happy to recieve your feedback after your appointment, you may return this to us at your follow up appointment.


Client Feedback form

 

If you are being referred by a Health Care Provider, please have that provider fill out one of the following forms.  It may be decided by your massage therapist at your appointment that a provider permission form is required for treatment. 


Physician's Permission form


Physician's Referral form

Associated Bodywork & Massage Professionals
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