Wake Medical Massage, LLC
Clinical Massage • Pain & Lymphedema Management • Myofascial / Trigger Point • Deep Tissue • Manual Lymph Drainage (MLD)
Forms

Relief is just moments away! • By appointment 7 days a week • Free phone consultation - Call 919.228.9559

New Clients: Want to save time? Download client intake form, print, fill and bring it with you so you won't have to fill when you come for your appointment.

 

New client intake form. Click =  to download

Basic Massage Contraindications Learn More ►


STOP! Do not download any form/s from below unless instructed by us!

Screening Questionnaire form
Body Map for Clients
Client Feedback form
Physician's Permission form
Physician's Referral form

You don't need referral for most conditions

Who can refer you to our therapy center:
Physician | Neurologist | Orthopedic, Vascular, & Plastic Surgeon | Podiatrist | Oncologist | Dentist | Chiropractor | Physical / Occupational Therapist | Nurse & Physician's Assistant

Free phone consultation - Call 919.228.9559

Proudly serving clients from Raleigh, Apex, Cary, Chapel Hill, Clayton, Durham, Garner, Holly Springs, Knightdale, Morrisville, Pitsboro, Raleigh, RTP, Sanford, Wake Forest, Asian and surrounding North Carolina Regions.

© Copyright 2019 Wake Medical Massage, LLC. All rights reserved.