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Download Our Intake Forms

Our Intake Forms

The intake forms of Keeping Active Massage Therapy, LLC must be completed prior to any therapeutic massage or bodywork appointment in North Carolina or any other domestic and international locations. Fill out the following forms below.

Massage Intake Form

SOAP Notes

Minor Consent Form

Massage Consent Form

Pain Scale Form

Keeping Active Massage Therapy, LLC
Doula/ Holistic Practitioner/ LMBT #19002
Phone (Text): 919-421-7683
Email: keepingactivemassagetherapy@gmail.com 
PO Box 317 Knightdale, NC 27545
Cashapp: $Keepactive2017 / Venmo: $Keepingactive
Veteran Owned Business 
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