Prepare for Your Appointment

Client Intake Forms

Name: Ambiance Massage & Personal Training
Address: 2519 North Hillcrest Parkway, Altoona, Wisconsin, 54720, US
Telephone: (715) 456-0018

Download and complete client intake forms, health history updates, and physician referral documents before your in-studio session in Altoona, WI.

Book Online Now (715) 456-0018

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Downloadable Client Documents · In-Studio Intake

Downloadable Forms & Paperwork

Client Documentation

Please download, print, and complete the appropriate documentation prior to your appointment to ensure a seamless session.

Health Information Form

Comprehensive medical and health intake questionnaire for all new massage clients.

Download Health Information PDF

Screening Questionnaire Form

Health screening form to identify areas of acute tension, contraindications, and sensitivities.

Download Screening Form PDF

Body Map for Clients

Anatomical chart allowing you to visually mark areas of pain, numbness, or desired focus.

Download Body Map PDF

Health Status Update Form

Periodic health status update for returning clients noting any new medical conditions or injuries.

Download Status Update PDF

Client Feedback Form

Share feedback on your session pressure, comfort, and therapeutic results.

Download Feedback Form PDF

Physician's Permission Form

Medical clearance documentation for clients under active physician care or with high-risk conditions.

Download Permission Form PDF

Physician's Referral Form

Formal physician referral document for specialized therapeutic bodywork and MLD.

Download Referral Form PDF

Billing Information Form

Standard billing, payment, and receipt documentation for insurance or FSA/HSA reimbursement.

Download Billing Form PDF

Our Studio Specialties

Customized Modalities

Multi-session packages are available across all of our core therapeutic offerings.

Swedish & Relaxation

Gentle flowing strokes to relieve stress and soothe overworked muscles.

Deep Tissue & Therapeutic

Focused clinical pressure targeting chronic knots and postural misalignment.

Hot Stone & Thermal Therapy

Heated basalt river stones melting away deep stiffness and tension.

Pre-Natal, Couples & Chair

Specialized positioning and multi-client setups. Packages are available!

Bring Forms to Your Appointment

Streamlined Intake

Please print and complete your intake forms prior to your session, or contact us directly with any questions about documentation.

Book Online Now (715) 456-0018

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Studio Location & Hours

Altoona, WI

Located at 2519 N Hillcrest Parkway, Suite 103, Altoona, WI 54720. In-studio appointments only.

Ambiance Massage & Personal Training

2519 N Hillcrest Pkwy Ste 103, Altoona, WI 54720

(715) 456-0018

Monday

9:00 AM - 6:00 PM

Tuesday

10:00 AM - 5:00 PM

Wednesday