Martha Binz, Massage & Cupping Therapist

Massage, Cupping, Lymphatic & Reflexology in Midlothian Texas

Client Forms

First time clients please fill out the 3 First time client forms and bring to your first appointment. The body map is a good option, however not necessary.


First-time Client Health History form       

First-time Client Policy form  

First-time COVID-19 Waiver Form                       

If you are coming in for Cupping please bring the this form as well.

Cupping Therapy Release form

as needed only.:   

Minor Consent form   

Physician's Permission form   

Physician's Referral form

Associated Bodywork & Massage Professionals
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