Michael Rizzo, LMT AMTA
810 N Wood St.

Your Profile

Due to recent events, you may be asked to provide a medical release form from your Primary Care Provider if there are any serious health-related issues. Health History Forms are also available in the office ( please arrive a few minutes to fill out a form for our private records and to discuss any other concerns.) You may also print these forms and bring them to your session.

The following forms are designed to help us work together more easily:

*Your Health Profile (REQUIRED)*

(UPDATED MAY/JUNE 2020) Please provide as much information about your health history so we may discuss any issues or concerns and proceed safely and cause no harm. Your health, comfort and safety are my top priorities.

Pregnancy Information Form

Provide as much info as you can

Detailed Health History Form

Please fill in as much as you can

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