Kimberly M Squires, RN, LMBT, BCTMB
Massage & Bodywork Therapist

Helpful Forms

The following forms are designed to help us work together more easily. Please print and bring these complete forms with you to your first scheduled appointment. These forms are required prior to your first session. If you are unable to print these forms, please arrive 10 minutes early to fill them out prior to your scheduled appointment.

Intended Outcome

This form will help you clarify your goals for your overall health and vitality, including our time together.

Client Intake Form

This form will help me better assess any current and/or past medical health conditions so that I may customize your treatment session.

Pregnancy Client Intake Form

For Prenatal massages only.

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