top of page
HEATHER HORST RN, BSN, LMT
Licenced Massage Therapist · Holistic Nurse
RN: #28174547A LMT: MT20900026
or Search and Verify at IN Professional Licensing Agency
New massage/bodywork patients,
please fill out this health history form →
prior to your session.
You may bring it with you to your first appointment , or scan and email it to firstname.lastname@example.org.
New nutrition/wellness patients, please find your health history form here →
I appreciate it!
Chemical Injury/MCS patients, your needs are much more specific. Before your first consultation, please complete this detailed health history form.
Thank you! ↘
bottom of page