Medical History Form

Please complete this brief medical history form, prior to your session with Kate Bruecker, LMT.
All forms will be kept confidential and used only by the practitioner in regards to your massage session. 

If you have any questions regarding the information on this form, please don't hesitate to reach out. We'll gladly guide you through, or explain why we might be asking for particular information prior to your service with us. Your health and safety is our top priority!
​Your information will be kept confidential and never shared.