Forms & Policies

Thank you for choosing Zaccanti Massage & Education. Please download, complete, and bring your printed forms to your first appointment.

All new patients are required complete the New Patient Forms and Policies Packet before their first appointment.

The Patient Symptom Checklist is for patients who are experiencing multiple symptoms who want to make me aware of current areas of pain or discomfort. If you choose to complete this checklist, please kindly bring it with you to your next appointment. You are welcome to update this form for each appointment.

This form is for your healthcare provider to complete in order to medically authorize your massage treatments. It may be required if you plan to receive reimbursement through your insurance company or pay with your HSA, FSA, or Corporate Wellness Program.

This form is for clients receiving lymphedema or manual lymphatic drainage (MLD) specifically for the breast. It ensures you understand the treatment and provide informed consent.

This form is for clients receiving intraoral buccal massage. It ensures you understand the treatment and provide informed consent.