RASAYANA, LLC: Ayurveda | Massage | Yoga

Where the Guru is You

Forms & Documents

 
Informed Consent & Release:  Download and complete this form if you are a new client to Rasayana or if it's been at least a year since your last visit.

Massage & Bodywork Intake:  Download and complete this form if you are a new client to Rasayana (or if it's been at least a year since your last visit) and scheduled for either a massage or Ayurvedic bodywork treatment.

Ayurvedic Health Counseling: Download and complete this form prior to your Assessment & Planning Session.  It should take you approximately 45 minutes to complete thoughtfully.

Authorization to Release Medical Information:  Download and complete this form  if you'd like to authorize Rasayana practitioners and staff to release or disclose your personal medical information with a third party of your choice, such as your primary care doctor or other complimentary health care specialists.

Medical Acknowledgement: Download and sign this form if Rasayana has expressly recommended you seek the attention of a medical doctor of your choosing, especially if your symptoms have taken the form of a pathology.

Weekly Food Menu Planner: What gets scheduled, gets done.  Download and use this form to help you plan and implement your new-found Ayurvedic food habits.