Forms to Bring

​Please, read about Your First Visit if this is your first appointment with us. Remember to arrive 15 minutes early to your first appointment so that your massage therapist has time to review your forms. You can also arrive ready for relaxation by completing your paperwork in advance!

Our Policies

Please, be aware of our clinic policies.  These policies ensure the safety and satisfaction of both our clients and our therapists.  Know what to expect from us and what we expect of you.

Massage Therapy Health History & Release Form

Please, thoroughly complete the your health history form.  This information is very important for us to develop an effective treatment plan and to ensure that we do not use any techniques that are contraindicated or may put you at risk.  We keep all of your information secure and confidential.

Body Map (Optional)

Some people may find it easier to describe their condition visually using a body map. Feel free to use the additional space for other notes or explanations.

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    Questions? Comments? Let Us Know!
Balanced Bodywork Massage Therapy
146 Rose Street, La Crosse WI 54603
​(608) 769-5882
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 None of the information provided is intended to act as a substitute for medical advice, nor does it involve the diagnosis, prognosis, or prescription of remedies for the treatment or prevention of any disease or ailment.
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