Kristen Seaton, LMT, MMP
Remarkable healing. True relaxation. Natural well-being.

CLIENT FORMS


NEW CLIENTS:  To save valuable time at your appointment, it is recommended that you print and complete these forms* at home:

  1. Client Information form
  2. Policies & Payment Agreement
  3. Oswetry Disability Index (if you are seeking treatment for pain or injury)

Your COMMENTS & SUGGESTIONS are always welcome.   Please complete this form and return it by mail to:  PO Box 1003, Sherwood, OR 97140

Client Feedback form


Take this form to your physician if you have a PRE-EXISTING MEDICAL CONDITION.  It must be completed and returned to me before you receive massage therapy:

Physician's Permission form


These forms are necessary for INSURANCE BILLING or to take a medical deduction for tax purposes.

  1. Physician's Referral (Rx) form
  2. PIP, Auto Accident, Slip-and-Fall form
  3. Worker's Compensation form

 Page updated on 14 June 2017

Associated Bodywork & Massage Professionals
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