Ann Savage Connective Touch Therapeutic Massage

Helpful Forms

The following forms are designed to help us work together more easily.  Every pediatric client or client with disabilities must have their healthcare provider medical release form signed before any massage can take place. 

Healthcare Provider Medical Release Form

Release form clearing massage for pediatric clients or clients with disabilities

Consent to Massage Waiver

Parental or Guardian Consent to Informed Massage Treatment

Pediatric Client Intake Form

Intake form to guide massage practice for our pediatric clients.

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