Forms

Please feel free to download, print and fill out the appropriate forms prior to your visit.

Notice of Privacy Practices

Self Pay Massage Clients:

Personal Health Intake

Massage Policies & Terms of Service

Medical Massage Patients:

Health Professional Referral

Intraoral Massage Intake

Medical Massage Policies & Terms of Service

Motor Vehicle Accident Questionnaire

Personal Health Intake

Workers Comp L&I Questionnaire

Reiki Clients:

Reiki Client Intake

Far Infrared Sauna Clients:

Sauna User Agreement

 

 

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Waterland Wellness (located in Ascenscion Wellness Center)
22014 7th Avenue South, Suite 105
Des Moines, WA 98198

Hours: WEDNESDAYS BY APPOINTMENT ONLY

SPECIAL NOTE:
I AM NOT ACCEPTING NEW PATIENTS/CLIENTS AT THIS LOCATION.

EXISTING CLIENTS, PLEASE CALL OR EMAIL FOR AN APPOINTMENT.

NEW CLIENTS MAY SCHEDULE ONLINE, CALL OR EMAIL FOR THE SPRING LAKE MASSAGE THERAPY & WELLNESS LOCATION @ WWW.SPRINGLAKEMYOTHERAPY.COM~ THANK YOU!

(253) 878-0174 Office

Leanne Kuhlman, Licensed Massage Practitioner, Reiki Master / Teacher
email: waterlandwellness@gmail.com
MA60137342

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