forms

Your safety and well-being are of utmost importance to me. Some health conditions and medications don't work well with certain massage techniques, so to be sure that I don't cause you any harm, I'll need to know about your medical history. On your first visit to papercrane, you will need to submit the following health history form. You can fill it out when you arrive, or print it out and bring it with you! All client files are kept confidential according to HIPAA regulations. (note to Dean clients- we will have to start from scratch, as we were not allowed to take your records with us.)

 

Dean Healthplan clients:

Looking for more information on the Dean Wellness Incentive? Here you go!
Need the "Wellness Incentives Now" form? Here you go! (Adobe PDF)
My License number is 3099-046 (this is asked for on the form)

last updated on October 19 2015