• Black Facebook Icon
  • Black Twitter Icon
  • Black Instagram Icon

Health History Form

If this is your first time receiving work at Bodywork Wisdom/Boulder Oncology Massage, please take the time to fill the health history form so I can safely accommodate your needs.
This information will be kept confidential.
 
ONLINE
Choose one of the following: 
NON-ONCOLOGY FORM (No cancer history)
Click here to fill the General Health form
ONCOLOGY FORM (If you have a history of cancer)
Click here for Oncology Health form if you have a history of cancer.
PRINT AT HOME:
Choose from the options below, Email or bring the complete form to your appointment 
 

HEALTH FORM PDF

Download the PDF form, fill at home and bring with you to your first appointment

HEALTH FORM.docs

Download the WORD document, save as a file and email back to me before your appointment

Please reload

 

If you are an Oncology patient keep scrolling down for the oncology-specific form. You do not need to fill both