R. Scott Shaw

Reconnecting Body, Mind, and Spirit with the Healing Power of Touch

Client Forms

Scott requests if possible, new clients print out the Screening Questionnaire, the Health History form, and any other form you may need and bring them with you for your first appointment.


First-time Client Health History form
Screening Questionnaire form
Body Map for Clients
Client Feedback form
Physician's Permission form
Physician's Referral form