Elemental Kinetics Bodywork and Movement Therapy
...A Moving Experience
Client Forms

Before your 1st appointment, this form is available for you to print, or for download to fill out electronically if you have that option on your computer. This may save more time for your appointment and allow me advance time to prepare for specific points of interest.

First-time Client Health History form

Feel free to take additional advantage of the use of these forms to further clarify for me your needs.

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 970.560.5795
Desert Willow Wellness 321 E North Street, Cortez, CO 81321
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