Intake Forms
Please take a few minutes to fill out our Intake Forms prior to your appointment.
Complete Online
Please login to your MindBody account to complete the intake forms.
If you do not have a password, or forgot yours, you’ll be able to create one before completing the intake forms. Your email will be the one you provided at the time of booking.
Print Them Out
If you are having a hard time completing your intake forms online or would prefer to print them and bring them with you to your first appointment, please access a PDF version of our intake forms here.
Or click the button below.
If you are unable to complete the intake forms, please arrive at your first appointment 10-15 minutes early to fill them out in our office. Please give us a call if you have questions or need assistance. (303)756-9355
Who Should Fill Out the Intake Forms?
- New patients and first-time visitors to Moyer Total Wellness
- Existing patient who have not been into our office for 12 months or longer
- Existing patients who have not filled out our intake forms in 12 months or longer (please complete these forms once a year and inform us of any changes in between so we can always have the most up-to-date and accurate information).
What Do We Do With This Information?
Your Intake Forms will be securely stored in your Moyer Total Wellness account and will only be accessible to Moyer Total Wellness staff.
Moyer Total Wellness strives to keep all of our patient information confidential. To learn more about your rights and our responsibilities, please read the HIPAA Privacy Practices 2014.
I am an Auto Accident / Personal Injury Patient, Do I Need to Fill Out These Forms?
Yes, you will need to fill these forms out, however, there will also be additional paperwork to fill out before your first appointment which is only available in our office.
Please plan to come to your first AUTO appointment 30 minutes early to fill out all of the necessary paperwork. Don’t forget to check out our AUTO Insurance Information page to learn more about what you will need to bring to your first appointment.
*Very Important: At the time of booking, please discuss the type of massage or other service you are expecting when you schedule your appointment. This will ensure we match you with the most appropriate staff member for your needs.
We require a Credit Card on file to schedule any appointment at MTW. If you need to reschedule, please notify the office at least 24 hours prior to your appointment start time to avoid the Late Cancellation Fee. When possible, our massage therapists prefer to receive cash tips or tips through Venmo.