Client Forms


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Client Forms are those used for Deb Vierling at Milady's Salon, for Medicine Hands Massage Therapy (at the Looking Glass Salon) and for Deb Vierling 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


© Copyright 2014 Debra Vierling, RN, Massage Therapist. All rights reserved.