Moyer Total Wellness Intake Forms

Intake Forms

Please take a few minutes to fill out our Intake Forms prior to your appointment.

Please login to your MindBody account to complete the 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.

Please give us a call if you have questions or need assistance. (303)756-9355

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.

Who Should Fill Out an Intake Form?

  • New patients and first-time visitors to Moyer Total Wellness
  • Existing patients who have not been in to 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.

*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.