Patient Forms

Please download and complete these forms bring them with you to your first appointment. If you have any questions please give us a call at 262-246-8811.

	Case History (95K pdf file)
	Financial Policy (86K pdf file)
	Informed Consent & HIPAA Consent Form (74K pdf file)
	Patient Health Information Consent Form (75K pdf file)

Call today to make an appointment 262-246-8811.

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Massage

Millikin Professional
Building, Suite #4
N63 W23524 Silver Spring
Sussex, WI 53089

Call 262-246-8811
for appointments