Client Forms and Massage Lesson Material

If you returning to My Massage Place DC after June 1, 2020, please review the Covid Statement Form.  I will have a hard copy on hand for you to sign when you arrive. 


If you are scheduling your first session in this location, feel free to print and complete the Client Intake Form and bring it with you to your session. 


Virtual Massage Lesson forms are avaible to print below.


Client Intake Form

You may print and fill out prior to first appointment

Covid 19 Symptom Statement Form

A form to determine your covid risk factors to assess if receiving massage therapy is determined safe at this time.

Massage Lesson notes

Photos, cues and space for notes to use during the massage lesson

Massage Lesson Muscle Anatomy Diagram

anatomy diagram for use during virtual massage lesson

Massage Lesson Body Systems Diagram

diagrams of the body systems for use during massage lesson

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