Debra Vierling, RN, Massage Therapist

Relief from stress & pain is just a phone call away.

Client Forms


Client Forms are those used for Deb Vierling at Milady's Salon and for Medicine Hands Massage Therapy (at Ault Chiropractic when the chiropractic part of the office is not officially open). Other forms are used for massage when the chiropractic part of Ault Chiropractic is open.

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

Associated Bodywork & Massage Professionals
© Copyright 2018 Debra Vierling, RN, Massage Therapist. All rights reserved.