Health History Questionnaire:

Patient Health Questionnaire

What type of regular exercise do you perform?

For each of the conditions listed below, place a check in the Past column if you have had the condition in the past. If you presently have a condition listed below, place a check in the Present column. 

Females Only

Other Health Problems/Issues

Indicate if an immediate family member has had any of the following:

Thank you for taking the time to fill out this form.


Our Location

2215 Jordan Ave. The condos behind McDonalds and Jordan Creek Mall. We are the 3rd building on the right, on the one-way street.

Office Hours

Massage times may differ from Front Office times

Open

Monday:

8:30 am-12:00 pm

2:00 pm-5:00 pm

Tuesday:

8:30 am-12:00 pm

Wednesday:

8:30 am-12:00 pm

2:00 pm-5:00 pm

Thursday:

8:30 am-12:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed