

Purity Health & Wellness
Massage. Chiroprac​tic. Acupuncture.
Naturopathic Medicine. Spinal Decompression. Reflexology. Reiki. Osteopath.


Intake Paperwork

Please print and fill out the corresponding intake paperwork and bring it with you to your appointment.
***If you are unable to do so, the intake paperwork will be provided to you prior to your appointment start time. Please plan on arriving 10 Minutes prior to your scheduled appointment to allow time to fill out all documents. Thank you.
Hot Stone Massage Consent Form
(Massage Intake Form must also be filled out if this is your first massage)
Acupuncture Intake Form Female
Prolotherapy/Neural Therapy Intake Form
Constitutional Facial Rejuvenation Acupuncture Intake Form
Reflexology Intake Form