Holly Glennon RN, BSN, LMP, Certified Reflexologist (360) 528-0683

    Helpful Forms

The following forms are designed to help us work together more easily.  Please take a moment, print out the form(s), fill out the information and bring them to your first visit.

Reflexology Session = Reflexology Intake form + Authorization and financial form

Acupressure / Massage Session = Intake form + Authorization and financial form

Prenatal Visit (Pregnancy related visit) = Pregnancy Intake form + Authorization and financial form

Acupressure Intake

Initial visit

Reflexology Intake

Initial Visit

Pregnancy Intake

Initial visit


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