Helpful Forms for Massage Therapy Clients in Omaha Nebraska
Preparing for Your Appointment
To make your visit as comfortable and efficient as possible, Sheila Houser-Zealand Massage Therapy provides helpful forms for new and returning clients. Completing your forms ahead of time ensures that Sheila understands your health history, current condition, and treatment goals before your session begins.
These forms allow her to create a session plan that addresses your needs safely and effectively. Every piece of information is kept confidential and used only for professional massage therapy purposes.
If you are a new client, please review and complete the following forms before your first appointment.
Helpful Forms
After you have confirmed your appointment, download the applicable forms by clicking on the form title or the associated "PDF" image.
Note: To download Adobe Acrobat Reader for free, click here.
For clients receiving Myokinesthetic System treatments, this additional form provides details about your posture, movement limitations, and nerve-related symptom
This information helps Sheila identify which nerve pathways may be contributing to your pain and ensures the Myokinesthetic treatment plan is accurate and effective.
Before receiving any massage treatment, all clients are required to sign a Massage and Bodywork Consent Form. This form confirms that you understand the purpose of massage therapy, its benefits, and any possible limitations.
By signing this form, you acknowledge that massage therapy is not a substitute for medical treatment and that any health concerns should also be discussed with your healthcare provider.
For clients receiving Myokinesthetic System treatments, this additional form provides details about your posture, movement limitations, and nerve-related symptom
This information helps Sheila identify which nerve pathways may be contributing to your pain and ensures the Myokinesthetic treatment plan is accurate and effective.
To maintain a safe environment for all clients, Sheila continues to follow professional health and hygiene standards.
If required, a
Health Screening Form may be completed before each visit. It confirms that you are not experiencing illness, fever, or other symptoms that could affect treatment safety.
This precaution helps protect both the therapist and the clients who rely on her care.
Myokinesthetic System Client Information Form
For clients receiving Myokinesthetic System treatments, this additional form provides details about your posture, movement limitations, and nerve-related symptoms.
The form includes sections where you can describe:
Specific pain patterns (e.g., numbness, tingling, stiffness)
Surgeries or injuries that have affected movement
Postural concerns such as uneven shoulders, forward head posture, or hip imbalance
This information helps Sheila identify which nerve pathways may be contributing to your pain and ensures the Myokinesthetic treatment plan is accurate and effective.
COVID-19 and Health Screening Form
To maintain a safe environment for all clients, Sheila continues to follow professional health and hygiene standards.
If required, a
Health Screening Form may be completed before each visit. It confirms that you are not experiencing illness, fever, or other symptoms that could affect treatment safety.
This precaution helps protect both the therapist and the clients who rely on her care.
Why Completing Forms Matters
Filling out these forms carefully allows Sheila to understand the “whole picture” of your health. Massage therapy and Myokinesthetic treatments are most effective when they are built around accurate information.
Benefits of completing your forms in advance include:
A more focused, personalized session
Fewer delays during check-in
Better understanding of posture, pain patterns, and movement limitations
A safe and comfortable environment for all clients
This information helps Sheila identify which nerve pathways may be contributing to your pain and ensures the Myokinesthetic treatment plan is accurate and effective.
How to Access or Submit Forms
You may request digital copies of all client forms via email before your appointment, or you can complete printed versions in the office.
To receive electronic copies, simply contact Sheila by email or phone:
Email: shzealand@gmail.com
Phone: (402) 715-5692
Please include your name, appointment date, and type of session (Myokinesthetic, therapeutic, or relaxation) when requesting forms. Sheila will send the appropriate paperwork and instructions for completion.