Body Work & Energy Healing for Animals

by Cheri Wildes of Steady Companion
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Client Forms

Intake & Release Forms

Please Note:  Release Forms and forms associated with appointment record-keeping are required as part of our Washington State Small Animal Massage Practitioner Licensing.

We would like to thank you in advance for your timely submission of these forms.

Client Forms – On-Line

Patient Intake &

Terms of Service Form

Form Instructions & Guidelines

  • Complete the following On-Line  Steady Companion New Patient Intake Form to the best of your ability.
  • Review and accept the Terms of Service, Consent & Release statement.
  • Submit the completed on-line form no later than 24 hours prior to your animal’s scheduled appointment.
    • This allows sufficient time for us to review the form, and identify any follow-up questions in advance of your scheduled appointment.
  • We request your transparency in terms of any known medical conditions, behavior issues, etc.
    • We work with intact animals, as well as animals with behavior challenges, bite histories, and fear of Veterinary situations.
    • This will allow us to create a plan to work most effectively, and successfully, with you and your animal.
  • All questions pertaining to a recent illness, injury or surgery are to confirm your animal is no longer experiencing any contraindications, has the appropriate Veterinary release, and able to receive body or energy work services.
  • If your animal has been diagnosed with a chronic condition, we may require a release from your primary or Specialist Veterinarian prior to working with your animal.

Step 1 of 4

Client Data & Intake Information

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Were your referred to us by anyone?
List Owner’s Goals & Objectives: Summarize primary objectives and goals for the session(s).
It is helpful for us to have a photo of your animal on file, but it is not required.

Client Forms – PDF’s & Word

Client Intake & Terms of Service

Client Intake Form

PDF Format

Access Form Here:

Client Intake Form

Type or Hand Write Responses Email to Address Provided on the Form Within 24 Hour of Scheduled Appointment.

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Terms of Service Form

PDF Format

Access Form Here:

Terms of Service Form

Type or Hand Write Responses Email to Address Provided on the Form Within 24 Hour of Scheduled Appointment.

Client Intake Form

Word Format

Access Form Here:

Client Intake Form

Type or Hand Write Responses Email to Address Provided on the Form Within 24 Hour of Scheduled Appointment.

i

Terms of Service Form

Word Format

Access Form Here:

Terms of Service Form

Type or Hand Write Responses Email to Address Provided on the Form Within 24 Hour of Scheduled Appointment.

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