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Bushland Therapy

Client Forms

client_intake_form.doc  State law requires that you fill this out before your session.  You can download it now or come in a few minutes before your appointment

Physician's Permission form  Should you have a medical condition such as Diabetes, kidney disease, heart disease, our insurance will only allow us to work with you if a Medical Doctor's signature indicates that it has been determined that it is safe for you to receive massage.


Physician's Referral form  Many insurance companies will cover Clinical massage if a Doctor (Medical or Chiropractic) referral is present.  Usually the referral is for Pain Management.

Associated Bodywork & Massage Professionals
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