Tracy J Dulock, LMT

Human/Canine Trigger Point & Massage Therapy

Client Forms

Veterinary Supervision Form: tracydulockmassage.massagetherapy.com/files/vetsupervisionTD.pdf

  • All Texas canine massage clients must provide this form before the first appointment;
  • This form with Tracy's name, contact information, etc. must be used - she cannot legally accept the form of another practitioner;
  • Practitioners who do not maintain the forms are subject to a large fine/sanctions.
  • NOTE:  Feel free to scan and email completed forms to me anytime, even if you don't plan on scheduling in the near future. I keep all forms file against the day your dog might need me.  Most vet offices have scanners if you don't; my email is on the form.

Tracy appreciates your help keeping her in compliance with Texas law.

 

Other forms (you may wish to fill these out in advance rather than at your appointment):

Canine Intake Form

Human Intake Form

 

 

These services are not a substitute for medical or veterinary care.

If you have any health concerns regarding your animal, you should consult a licensed veterinarian as soon as possible.  Per Texas law, therapeutic massage on an animal is required to be done under the direct or general supervision of a licensed veterinarian.  Since Tracy is not a veterinarian and is acting as an independent contractor, a veterinary supervision form is required prior to your first visit in order to be in compliance with Texas Administrative Code §573.14.

To download the form, go to the menu and click on "Client Forms".

Associated Bodywork & Massage Professionals
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