top of page

Fascial Stretch Therapy Provider Client Intake / Consent Form

Instructions: This is your comprehensive information sheet. All relevant, personal information is gathered to equip the therapist with essential information used to deliver an optimal, results driven program. Please answer all questions accurately, honestly, and as detailed as possible.

Click the Link below and download the attached from. 

You can give a hard copy of the form during at the time of your first visit or email it to us at:

bottom of page