Forms

Please arrive 10 minutes early for your first appointment so we may verify your insurance and you can
fill out your registration paperwork.

To save time, below are links to our registration forms. Simply print, fill out, and bring both forms with
you to your first appointment.

Patient Registration Form
HIPAA Privacy Notice Form
Medical History Form

Student Volunteer Information and Application
Bliss Massage Registration Form

SPINAL CONDITIONS
ORTHOPEDIC CONDITIONS
DRY NEEDLING
WOMEN'S HEALTH
VERTIGO/DIZZINESS & BALANCE
POST-SURGICAL REHABILITATION

BLISS MASSAGE
HEADACHES
MANUAL THERAPY
TMJ DYSFUNCTION
INCONTINENCE
MUSCLE ACTIVATION

Request an Appointment

After submitting this form, a Bodyworks representative will contact you
to secure your appointment. If you need immediate scheduling assistance,
please call us directly at: 701-893-BODY.

Please note: We attempt to accommodate all appointment requests, but
appointments are not confirmed until you receive a call from our front office.

Thank You!

We have received your form and a Bodyworks representative
will get back to you within the next business day.

If you need immediate scheduling assistance,
please call us directly at: 701-893-BODY