Catherine Burns, L. Ac.
Acupuncture, Herbal Medicine, Medical Qigong

Helpful Forms

The following forms are designed to help us work together more easily:

New Client Intake Form

If you are a new client, please complete this form and bring it along to your first session.

General Liability Release Form

This is a standard release of liability for our massage therapy work together.

Intended Health Benefits Form

This form will help you clarify your goals for your overall health and vitality, including our time together.

Minor Liability Release Form

This form allows a parent or legal guardian to give permission to perform massage on a minor client.

Corporate Massage Contract

If you'd like to set up massage for your company as a one-day treat or as a recurring benefit, this contract lays out the details of our agreement.

Medical History Form

Medical History Form for Patients

Client Intake Form

If you are a first-time client, please print this form, complete it, and bring it along to our first session.

Intended Outcomes Form

This form will help you clarify your goals for your overall health and vitality, including our time together.

Note: To download Adobe Acrobat Reader for free, click here.