Physician's Referral form

This form is for a referral as your physician sees massage and bodywork as necessary treatment.

Physician's Permission Form

There is no reason to believe that massage or bodywork treatments will harm this patient's progress. 

Client Feedback Form

We would love to hear from you! This form can be filled out or you can leave us a review on Facebook!

First-time Client Health History Form

Help us get to know you & your health goals! Fill out the form prior to your first appointment and bring it with you. 

Questionnaire Form

This is for first time clients. We would love to get to know you more. Fill this out prior to your first appointment and bring it with you.

Body Map for Clients

Tell us where it hurts!

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GATEWAY FOR HEALING

6043 Hudson Rd, Suite 140P, Woodbury, MN 55125

By Appointment Only

Sunday: Closed
Monday: 10am-5:30pm
Tuesday: 10am-2:30pm
Wednesday: Closed
Thursday: 10am-5:30pm 
Friday: 10am-5:30pm
Saturday: 8am-2pm

© 2017 Gateway for Healing