Keely Qualey LMT

A Holistic Approach to Chronic Pain & Stress Disorders.

Client Forms


If this is your first appointment please takes a moment to print and fill out the First-time Client Health History form below.  Then don’t forget to bring it with you to your first appointment.  You can, if you prefer fill out a health history form at the office instead   of at home.

First-time Client Health History form
Body Map for Clients
Client Feedback form
Physician's Permission form
Physician's Referral form


© Copyright 2018 Keely Qualey LMT. All rights reserved.