Client Forms

Home
Services,Rates, Payment, Insurance
Hours and Scheduling
About the Therapist
Contact Information
Frequently Asked Questions
Health Insurance
Benefits of Massage
Structural Relief Therapy (SRT) - What is it?
What is REIKI?
Chakra Questionaire - Do you need your energy centers balanced?
Testimonials
Client Forms
Gift Certificates
Life Inspirations

Client Forms

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

Inner Peace Massage Services Offered!

I have completed training Deep Tissue, Swedish massage, reflexology, warm bamboo massage, Cupping, Myofacial Release & Structural Relief Therapy (SRT) for Hip, Upper Leg, Knee,Low Back, Pelvis, & Thoracic Outlet Syndrome (Upper Body). Come in and try it if you are experiencing back or knee & hip pain, limited ROM in upper body, tingling or numbness in arms or hands.

Health Insurance!

I am an in-network provider with Premera, Blue Cross/Blue Shield, Regence Insurance & Health Alliance.

As of October 1,2021, I am not accepting any NEW insurance clients.

Gift Certificates available!!

Home
Services,Rates, Payment, Insurance
Hours and Scheduling
About the Therapist
Contact Information
Frequently Asked Questions
Health Insurance
Benefits of Massage
Structural Relief Therapy (SRT) - What is it?
What is REIKI?
Chakra Questionaire - Do you need your energy centers balanced?
Testimonials
Client Forms
Gift Certificates
Life Inspirations

Inner Peace Massage Services Offered!

Health Insurance!

I am an in-network provider with Premera, Blue Cross/Blue Shield, Regence Insurance & Health Alliance.

As of October 1,2021, I am not accepting any NEW insurance clients.

Gift Certificates available!!