Trevor and Leslie Browning 970-519-1461
970-519-1461 Professional Massage Therapy and Bodywork in Telluride Mountain Village

Client Forms

Taking practical precautions for prevention of spreading virus 

Have you had a fever in the last 24 hours of 100°F or above?

Do you now, or have you recently had, any respiratory or flu symptoms, sore throat, or shortness of breath?

 I understand that, because massage therapy work involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission. By signing this form, I acknowledge that I am aware of the risks involved and give consent to receive massage and bodywork from this practitioner.

https://dzdx4ocwzatbw.cloudfront.net/pdf/business-management/client-forms/Screening-Questionnaire_COVID.pdf

Health Information form
Screening Questionnaire form
Body Map for Clients
Health Status Update form
Client Feedback form
Physician's Permission form
Physician's Referral form
Billing Information form