On-Site Medical Massage Partnership Inquiry
An introduction and request for integrated services
Organization Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact Name
First Name
Last Name
Title / Role
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Organization Type
Please Select
Senior Living Community
Assisted Living / Memory Care
Skilled Nursing / Rehab
Hospice or Palliative Care
VA or Veteran-Serving Organization
Healthcare / Medical Practice
Other (please specify)
Back
Next
Care Environment & Population
Who would primarily receive services?
Residents / Patients
Veterans
Hospice patients
Caregivers / Family members
Staff
Other
What populations do you primarily serve?
Older adults
Individuals with chronic pain
Neurological conditions
Cognitive impairment or dementia
Post-surgical or rehabilitation patients
Complex medical needs
Other
Are clients currently receiving other medical or therapeutic services onsite?
Nursing
Physical therapy
Occupational therapy
Speech therapy
Hospice services
Behavioral health
Other
Back
Next
Continue
Continue
Goals for Partnership
What are you hoping medical massage will support?
Comfort and quality of life
Pain management
Mobility and function
Nervous system regulation
End-of-life comfort
Staff wellbeing and retention
Caregiver support
Pilot or exploratory program
How would you describe the level of medical complexity in your setting?
Low
Moderate
High
Varies significantly
Back
Next
Operational Considerations
What type of service model are you exploring?
Scheduled on-site service blocks
Ongoing weekly or monthly presence
Pilot program
Event-based services
Not sure yet
Preferred days/times (if known)
Approximate number of individuals per service day
Do you have any documentation or compliance requirements Thrive should be aware of?
Back
Next
Collaboration & Next Steps
Who would Thrive primarily communicate with on your team?
How do you envision massage therapy fitting into your care team?
Anything else you’d like us to know about your environment or goals?
Back
Next
Consent & Follow-Up
I understand this form is an initial inquiry and that Thrive will follow up to explore alignment and next steps.
Request a Partnership Conversation
Request a Partnership Conversation
Should be Empty: