Massage Therapy, Aromatherapy and Reiki
Debora L. Bogart, LMT, Certified Aromatherapist, Reiki Practitioner
Client Forms

OPTIONAL:  You may print off and fill out a health history form and mail it to my office prior to your first visit.  This will help me to research any of your conditions and or medications so I can come up with a treatment plan that will work for you.  Some medications and conditions require a therapist to change the techniques or pressure used in the session.  My goal is to keep you safe and happy with your treatment.

First-time Client Health History form
Screening Questionnaire form
Body Map for Clients
Client Feedback form
Physician's Permission form
Physician's Referral form

Associated Bodywork & Massage Professionals
Member, Associated Bodywork & Massage Professionals 419-796-0058
PO Box 37, Vaughnsville, OH 45893
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