Health History Form

We want you to receive the best care possible and have listed several things below that you can do to help facilitate your first treatment:

  1. Please arrive on time with your patient health history form completed. (If it is not complete, we can’t begin your appointment on time and this may decrease your treatment length.) This form gives us vital information about your overall health and wellbeing and generally takes 15-20 minutes to complete. It can be downloaded from the link below or we will be happy to email, fax, or mail it to you. You can also pick one up at the office, but please call in advance to arrange a time.
  2. Please eat a snack or meal no later than 2 hours before your scheduled treatment time. Conversely, avoid eating a heavy snack or meal right before a treatment.
  3. If you are scheduled for one of the low-cost group treatments, it is important to wear loose, comfortable clothing. Ideally, pant legs will be able to be pushed/rolled up above the knees and shirt sleeves will go above the elbows. Shiatsu bodywork treatments are done through clothing. Please wear pants and shirts that are loose and comfortable as well as clean socks.
  4. We also suggest that you not plan any strenuous or stressful activities within four hours after your treatment.

Click here to download: Health History Form
You can download the file, print it, and then fill it out at home. Make sure you bring it with you to your first appointment. If you do not have Adobe Reader installed, you can visit the Adobe website to download a free version.