Form

  • BBPS East Scheduling Form

  • Please fill out this form in its entirety to ensure your session is scheduled.

  • Format: (000) 000-0000.

  • Date of Birth   Pick a Date*   

  • New Client Intake Form

  • Returning Client Intake

  • Informed Consent

  • Please read the following and check the box below to acknowledge your understanding and agreement:

    I understand that massage therapy and bodywork are not substitutes for medical examination, diagnosis, or treatment. I have disclosed all medical conditions and any changes in my health status to my therapist. I understand that it is my responsibility to inform the therapist of any pain or discomfort during the session, so that the treatment can be adjusted to my comfort level.

    I acknowledge that suction cups may be used as part of my treatment. I consent to their use if deemed appropriate by my therapist. I understand that minor marks or discoloration may result and are typically temporary.

  • Should be Empty: