Bridgetown Bodywork
Aarisa Smith, LMT OR15732
Forms

Intake Form

Notice of Privacy Practices August 2021

Prenatal Addendum to Intake

Please review carefully before your session.

Print double sided if possible - if your printer can't handle the small margins, print at 80% size or just fill it out when you come in. You also have the option to email the form to aarisalmt@gmail.com, but be aware this is not a secure method of transmitting your personal information. 

INTAKE FORM

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