Helpful Forms

A Healing Stone Therapeutic Massage Center

The following forms are designed to help us work together.  Please print and complete these forms and bring them with you for your first session. These forms are also available in the office if you do not wish to print them, but please allow 15 minutes prior to your appointment to fill them out.


A Healing Stone Therapeutic Massage Center / located in Harper Square, Richmond, Ky 40475 / (859)248-6747

Client Intake

this forms provides pertinent contact and medical information for the therapist.

Minor Informed Consent form

This gives the therapist permission to work on a client under the age of 18. If you are under the age of 18 a parent/guardian must complete this form.

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