Important Documents

Download all your important forms (in .doc format) and complete them to save time before your first appointment.
New clients must complete all forms marked with an astrik (*) before the beginning of the first session.

*Client Intake Form

*Consent for Use and Disclosure of Protected Health Information

*Payment and Appointment Cancellation Policy

HIPAA Privacy Practices

Pregnancy Intake

High Risk Pregnancy Release (Requires OB/GYN or Midwife’s signature)

Labor Support/Doula Contract

Infant Massage Class Parent Feedback Form

Minor Consent Form (Required for all clients under 18 years of age)

Oncology Release  (Requires Oncologist or MD’s signature)

Release of Information Form (If you want someone other than you to get a copy of your file)


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