Thrive Medical Massage Application
Welcome to The Thrive Team
Personal Information
Name
First Name
Last Name
Preferred Name
Birthday
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Cell Phone Number
Format: (000) 000-0000.
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Professional Information
Massage License Number
Upload a copy of your professional liability insurance
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Are you certified in any specific massage techniques or modalities?
Geriatric Massage
Manual Lymphatic Drainage
Myofascial Release
Craniosacral Therapy
Palliative Care Massage
Therapeutic touch
Neuromuscular Therapy
Orthopedic Massage
Scar Tissue Release Therapy
Are you certified in any specific massage techniques or modalities not listed above? (Please list)
Do you have any other relevant certifications or training? (Please list)
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Therapist Availability
Start Date
-
Month
-
Day
Year
Date
Days Available to Work (most shifts will be between 8am - 4pm)
Monday
Tuesday
Wednesday
Thrursday
Friday
Saturday (workshops/events)
Cities You are Interested in Working:
Atlanta
North Fulton
Cobb
Gwinnett
Cherokee
Any Other Notes or Comments on Availability?
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Equipment and Software
Please select all the equipment you own and do not need Thrive to provide:
Portable massage table
Massage chair
Bolsters and other support
Sheets and linens (neutral colored)
Do you have a reliable vehicle?
Yes
No
Are you familiar with MassageBook scheduling?
Yes
No
I have an active profile
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Emergency Contact Information
Primary Emergency | Contact Name
First Name
Last Name
Primary Emergency | Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Emergency | What is your relationship with this person?
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