Essential Medical Massage & Wellness

2301 Ohio Dr, Ste 214, Plano, TX 75093

Essential Medical Massage

Specializing in Acute Pain, Rehabilitation and Cancer Care

Phoebe Courcy, LMT, MMP, CPMT

Forms

Please bring a completed New Client Intake Form to your first visit, or if there have been any changes to your health history. 

Oncology Clients must complete both New Client Intake AND Oncology Intake Forms.

Adult New Client: 

Adult Oncology:

If you are currently undergoing cancer treatments, are between treatments or if your last treatment was within one year of the date of our anticipated massage session, I need to have your physician complete a "release form." See below.

Pediatric:

If the child is a first-time client, please print this form, complete it and bring it with you to your first session.

This form needs to be completed and signed by a parent.

This letter needs to be completed and signed by your child's physician if under current treatment(s).