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.
Myokinesthetic System Client Information Form
The Client Intake Form gathers essential information about your medical background, physical activity, and specific concerns. It helps Sheila understand any injuries, surgeries, medications, or conditions that might affect your treatment.
You will be asked to provide:
- Contact information and emergency contact
- Health history (including recent injuries or surgeries)
- Current symptoms or pain locations
- Preferred pressure and areas of focus
- Any allergies or sensitivities to lotions or oils
Completing this form ensures that every massage session is safe, comfortable, and tailored to your unique needs.
If possible, please fill out the form before your appointment and bring it with you, or arrive 10–15 minutes early to complete it in the office
Massage and Bodywork Consent Form
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.
It also outlines your rights as a client, including:
- The right to request changes in pressure or technique during the session
- The right to end a session at any time for any reason
- Assurance that all services are strictly professional and therapeutic
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.
Massage and Bodywork Consent Form
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.
It also outlines your rights as a client, including:
- The right to request changes in pressure or technique during the session
- The right to end a session at any time for any reason
- Assurance that all services are strictly professional and therapeutic
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.
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.
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 or therapeutic) when requesting forms. Sheila will send the appropriate paperwork and instructions for completion.