Clinic Forms
 

All necessary forms can be completed upon arrival at our office. However, if you want to save some time, you are welcome to click on the red pdf folders below to complete your paperwork ahead of time.​

COVID-19 Screening Forms

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1. COVID-19 Questionnaire

Complete and bring to your appointment.

At this time, we ask that you please restrain from booking an appointment with us if you, or anyone in your home has cold or flu-like symptoms. 

We will not see anyone who has been flying, or has been around anyone who has been flying out of town within 30 days prior to the appointment they wish to schedule.


Just as we take your health into consideration
every time you visit us,
we ask that you do the same for us
and those we see.

The choices you make affect everyone around you.

Massage Therapy Forms
 

1. Massage Therapy Intake Questionnaire

Please print and fill out this form prior to your initial massage therapy session at our office.

 

2. Privacy Practices Acknowledgement Form
Please print and fill out this form prior to your initial massage therapy session at our office, after you have read the Privacy Practices. To read the Privacy Practices (two pages), please scroll down.

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Reflexology Forms
 

1. Reflexology Therapy Intake Questionnaire
Please print and fill out this form prior to your initial reflexology session at our office.

2. Privacy Practices Acknowledgement Form
Please print and fill out this form prior to your initial reflexology session at our office, after you have read the Privacy Practices. To read the Privacy Practices (two pages), please scroll down.

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READ ONLY Privacy Practices Forms


1. Privacy Practices, Page 1 – Read Only
Please read pages 1 & 2 of the Privacy Practices and then fill out the acknowledgement form in the selected session section above.

2. Privacy Practices, Page 2 – Read Only
Please read pages 1 & 2 of the Privacy Practices and then fill out the acknowledgement form in the selected session section above.

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Click on either location:

Rates and Hours

BY APPOINTMENT ONLY

Gratuity is not expected.

The best tip you can give
is the referral of a friend
or family member.

Advanced Massage Therapy
and Bodywork

$125

$185
$250

1 hour

1½ hours
2 hours

Clinical Reflexology

1 hour

1½ hours

$ 95

$145

Chiropractic Care*

Initial Exam

Adjustment

$ 75

$ 45

*Chiropractic Care is ONLY available

in the Houston location.

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Lucas & Lucas,LLC 
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