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

Covid-19 Screening *NEW* Please read the following and text SAFE to 907-712-4576 on the day of your appointment to confirm you have read this and are compliant.

To receive bodywork the following conditions must be met:

1) Neither the client or anyone in their household has tested positive for Covid-19 or are waiting for results, or currently have a cough or shortness of breath or other symptoms of Covid-19 such as fever, chills, headache, recent loss of smell or taste, diarrhea, sore throat or vomiting.

2) Some of my clients are essential workers. Please check your temperature the day of your appointment and mask, glove and wear clean clothes. If gloves are not available please sanitize hands before entering. You do not need to remove your shoes until you are in the massage room, but please walk on the rugs and put clothing in the designated container. Understand that these measures help to keep everyone safe, but receiving bodywork does not follow social distancing requirements and so may not be suitable for high risk patients.

3) If you have traveled outside of Alaska, please wait 14 days before making an appointment.

Thank you!