Adagio Therapy
The Rhythm of Relief
Client Forms



Click and Print:                                                                            these easy to use forms for your First Time Visit

or Arrive 15 minutes early to complete before your session. 


First-time Client Health History form **first time client

Body Map  **for treatment orders and plans from DC/DO/MD                                              

Physician's Permission form  **4 month and up pregnancy                               or acute injury/illness

Physician's Referral form   **referred by a Chiropractor/Osteopath/Physician  who can write specific treatment instructions


You can scan and email completed forms ahead of your session:  psbilyeu@gmail.com


Schedule online now



Associated Bodywork & Massage Professionals
Member, Associated Bodywork & Massage Professionals 920-687-9999
611 N. Lynndale Suite K, Appleton, WI 54914
© Copyright 2017 Adagio Therapy. All rights reserved.