Stream of Life Massage Therapy Client Forms

Health Information form
Screening Questionnaire form
Body Map for Clients
Health Status Update form
Client Feedback form
Physician's Permission form
Physician's Referral form
Billing Information form

For the safety and well-being of our clients and staff, Stream of Life Massage Therapy requires proof of COVID-19 vaccination, including booster shots updated for 2025 for all appointments.

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Jacqueline M. Martin  Licensed Massage Therapy New Mexico #8818

1420 Carlisle Blvd NE Suite 205 Albuquerque, New Mexico 87110 USA

Cell (505) 600-1326     Email: streamoflifemassage@gmail.com