Intake Forms

Please sign in to the website secure patient portal to complete the necessary intake forms before your first visit. Once you register, I will send secure patient portal documents electronically. All information is stored in you patient portal file.

Please copy and paste URL:

http://sandrajwhileylmp.clientsecure.me

**If you are minor, please have a guardian read and sign the waiver " Minor Liability Release Form" document.

You may either email, fax or bring it in prior to the appointment.***

Minor Liability Release Form

This form allows a parent or legal guardian to give permission to perform massage on a minor client.

Note: To download Adobe Acrobat Reader for free, click here.