Divine Lasting Care
Oils, Prayer, and Massage ~ The Trinity of Holistic Care

Client Forms

Intake forms are below. If you are interested in a Raindrop Treatment, I need prior notice to ensure oil supply for your session.  Please print the client form in either PDF or Word and bring with you to your next appointment.

Client Intake (in Word)

 Client Form (PDF)

 

If we have discussed specific treatment options, please print the appropriate form below:

Manual Lymphatic Drainage intake form (word)

Prenatal intake form (word)

Raphah Pallel intake form (word)

Reflexology intake form (word)

RP Modified Raindrop intake form (word)

 

Raindrop Treatment intake form (PDF)

 

Please print this page for ease in locating specific injury or area of severe pain:
Body Map for Clients

 

Please print these pages if DLC requests Dr's note prior to your visit:
Physician's Permission form


Physician's Referral form

 

 

 

Want to order Young Living Essential Oils?  Visit www.youngliving.com and enter my distributor number 1077367 when you sign up.