Schedule 541.323.3488
  • Welcome
  • Book Now!
  • Services
    • WIC Page
    • Massage Therapy >
      • Swedish Massage
      • Deep Tissue and Sports Massage
      • Pregnancy Massage
      • On-Site Chair Massage
    • Nutrition Counseling
    • Diabetes Education Program
    • Body Trust® Group
    • WalkStrong!
    • Partner Services
  • About Us
    • Visit Us
    • Meet The Team
    • Our Ethics
    • Our Manifesto
  • Newsroom
  • Blog
  • Forms
SYNERGY HEALTH AND WELLNESS BEND, OR 97701
  • Welcome
  • Book Now!
  • Services
    • WIC Page
    • Massage Therapy >
      • Swedish Massage
      • Deep Tissue and Sports Massage
      • Pregnancy Massage
      • On-Site Chair Massage
    • Nutrition Counseling
    • Diabetes Education Program
    • Body Trust® Group
    • WalkStrong!
    • Partner Services
  • About Us
    • Visit Us
    • Meet The Team
    • Our Ethics
    • Our Manifesto
  • Newsroom
  • Blog
  • Forms

Provider Referral Form: Nutrition and Diabetes Therapies

Fillable Form
2020_referral.docx__2_.pdf
File Size: 101 kb
File Type: pdf
Download File


​Provider Referral Form: Massage Therapy

FILLABLE FORM
massage_2020_referral.docx.pdf
File Size: 379 kb
File Type: pdf
Download File


​Patient Forms

Please feel free to print and bring completed forms to your appointment.

New Nutrition and Diabetes Client Intake:

FILLABLE FORM
2020_nutrition_and_diabetes_facesheet___intake.pdf
File Size: 143 kb
File Type: pdf
Download File


New Massage Client Intake:

FILLABLE FORM
2020_massage_facesheet___intake.pdf
File Size: 136 kb
File Type: pdf
Download File

Policies and Notices:

massage_and_nutrition_policies.pdf
File Size: 255 kb
File Type: pdf
Download File

notice_of_privacy_practices.pdf
File Size: 139 kb
File Type: pdf
Download File

WalkStrong Forms:

walkstrong_registration_and_md_clearance.pdf
File Size: 226 kb
File Type: pdf
Download File

formulario para pacientes nuevos (SPANISH FORMS)

CLIC PARA LLENAR
notice_of_privacy_practices_spanish__1_.docx
File Size: 347 kb
File Type: docx
Download File

spanish_2020_intake_facesheet__1_.pdf
File Size: 81 kb
File Type: pdf
Download File

spanish_2020_nutrition_ed_and_diabetes_intake__1_.pdf
File Size: 132 kb
File Type: pdf
Download File


​Contact
Office Phone: 541-323-3488
Office Fax: 541-323-3483
Email: 
[email protected]
​Synergy Health and Wellness
361 NE Franklin Ave, Bldg C 
Bend, OR 97701
541.323.3488
[email protected]
Welcome
Book Now!
Services
Massage
Nutrition Counseling
Meet The Team
Blog
Visit Us
Massage and Nutrition Therapies
M-F 9am-7pm
Sat 10am-5pm 
  • Welcome
  • Book Now!
  • Services
    • WIC Page
    • Massage Therapy >
      • Swedish Massage
      • Deep Tissue and Sports Massage
      • Pregnancy Massage
      • On-Site Chair Massage
    • Nutrition Counseling
    • Diabetes Education Program
    • Body Trust® Group
    • WalkStrong!
    • Partner Services
  • About Us
    • Visit Us
    • Meet The Team
    • Our Ethics
    • Our Manifesto
  • Newsroom
  • Blog
  • Forms