New clients just fill out the Mechanix intake form below:

 

Mechanix Intake form

 

 

 

 

 

 

 

 

 

 

Only the Mechanix intake form (see above) is needed for your first appointment. The optional forms below are not needed unless you have a variety of health issues & you feel a more detailed intake form is more appropriate for your health & wellness needs. Covid forms are unnecessary at this time.

 

Optional Intake forms (NOT NECESSARY) :

Health Information form - COVID-19 Addendum

Screening Questionnaire: COVID-19

Client Arrival: Check-In Screening Protocol (COVID-19)

Body Map for Clients

Health Status Update form

 

Additional Optional forms:

Physician's Permission form

Physician's Referral form

Billing Information form