Reflexology For Health, LLC.
Reflexology Techniques For Health & Wellness by an ARCB Board Certified Reflexologist

Client & Student Forms

Last Updated: 12/07/2022

 

First Time Client Health History Form in English
http://www.abmp.com/img/members/client_treatment/health_information.pdf

First Time Client Health History Form en Espanol 
http://www.abmp.com/img/members/client_treatment/client_information_spanish.pdf
Screening Questionnaire 
http://www.abmp.com/img/members/client_treatment/screening_questionnaire.pdf

Health Status Update (For Returning Clients) 
http://www.abmp.com/img/members/client_treatment/health_status_update.pdf

Body Map 
http://www.abmp.com/img/members/client_treatment/body_map.pdf

Physician or Health Care Provider`s Permisson 
http://www.abmp.com/img/members/client_treatment/physician_permission.pdf

Physician or Health Care Provider`s Referral 
http://www.abmp.com/img/members/client_treatment/physician_referral.pdf

Parental Consent
https://www.ascpskincare.com/img/members/Forms/ParentalConsentForm.pdf

Client Feedback
http://www.abmp.com/members/biz_fit/client_feedback_form.pdf

Office Policies 
http://www.abmp.com/img/members/client_treatment/office_policies.pdf

Termination of Care 
http://www.abmp.com/img/members/client_treatment/termination_of_care.pdf

Guidelines for Public Demonstrations and Volunteering  http://www.abmp.com/img/members/client_treatment/guidelines_for_public_demonstrations.pdf

Insurance Billing Information 
http://www.abmp.com/img/members/client_treatment/billing_information.pdf

SOAP Notes 
http://www.abmp.com/img/members/client_treatment/soap_notes.pdf

As a Certified Massage Therapist (CMT), are you considered a licensed health care provider in the State of California?:       No.  California does not license massage therapy anywhere in the state unlike most states.  California regulates and certifies the practice of massage therapy through it's governing body, the California Massage Therapy Council (CAMTC).  Per California state law SB 577, I am to state therefore that I am not licensed by the state as a healing arts practitioner.  It's not a personal reflection on my training or qualifications, it is simply a fact that California does not license any healing arts practitioners. 

For more info, click on this link to SB 577:  http://www.leginfo.ca.gov/pub/01-02/bill/sen/sb_0551-0600/sb_577_bill_20020923_chaptered.html