MFR Intake Forms

Click the titles below to download our new patient forms as PDF Documents.
Once downloaded, print, fill out ,and bring with you to your next office visit.

What people are saying . . .

Filled with gratitude . . .

Could you please give Molly a big thank you for me today, I am FILLED WITH SUCH GRATITUDE for the work she does & as I was able to take my dog for a much longer walk today then I have in Weeks I couldn't help but feel so blessed & So Incredibly THANKFUL for her work."

Lori Thompson, busy mother, Royalston, MA

Monadnock Myofascial Release

2016-09-13T16:11:42-04:00

Lori Thompson, busy mother, Royalston, MA

https://monadnockmyofascialrelease.com/testimonials/filled-with-gratitude/

. . . life changing.

I was suffering from frequent and debilitating migraines when I discovered Myofascial release. After just one session I felt an immediate change in the areas I was experiencing tightness. Additional sessions targeting connected areas further helped in my healing and path to being pain free. I used to carry medications around with me everywhere for fear of developing a headache or migraine. I no longer need to do this and with the addition of home exercises and knowing how to stretch and relieve the occasional headache without medication, I can honestly say that Myofascial release treatments have truly been life changing.

Sarah Patriquin, office manager, busy mother, Keene, NH

Monadnock Myofascial Release

2016-09-13T16:22:17-04:00

Sarah Patriquin, office manager, busy mother, Keene, NH

https://monadnockmyofascialrelease.com/testimonials/life-changing/

Thank you Molly!

Ten years ago my left hip was replaced at a major NE Orthopedic Hospital. The joint itself is fine but the placement was poorly done, the result being associated muscle problems in the leg and back that left me in as much pain, or possibly more, than pre-surgery. For eight years I worked with another myotherapist and saw doctors in NY & Boston with no lasting success.
I started seeing Molly 1-1/2 years ago and experience significant relief within a month and have since experienced a steady improvement. As the problem is structural, I do not believe it will ever be fully resolved but I am able to manage the condition to a much greater extent and my daily activities are impacted far less. Thank you Molly!

David Short, Woodworker, Amherst, MA

Monadnock Myofascial Release

2016-09-13T16:23:46-04:00

David Short, Woodworker, Amherst, MA

Ten years ago my left hip was replaced at a major NE Orthopedic Hospital. The joint itself is fine but the placement was poorly done, the result being associated muscle problems in the leg and back that left me in as much pain, or possibly more, than pre-surgery. For eight years I worked with another myotherapist and saw doctors in NY & Boston with no lasting success. I started seeing Molly 1-1/2 years ago and experience significant relief within a month and have since experienced a steady improvement. As the problem is structural, I do not believe it will ever be fully resolved but I am able to manage the condition to a much greater extent and my daily activities are impacted far less. Thank you Molly!

https://monadnockmyofascialrelease.com/testimonials/thank-you-molly/

I leave feeling revived.

Molly is without a doubt one of the best body therapists I have ever worked with and I’ve tried a LOT. She is present, curious, kind, insightful and very very skilled with the techniques she using. With her I have resolved both the acute problem I came in with, as well as long-standing injuries that I had simply become accustomed to. I leave her treatments feeling revived, energized, pain free, and more knowledgeable about my body. I can’t recommend her more highly – worth every cent, worth the wait, worth the miles driven to get there. I really don’t get any other kind of body work anymore. I want to add that Molly's practice manager, Sasha, is lovely! As is their office!

Dr. L, clinical psychologist, Greenfield, MA

Monadnock Myofascial Release

2016-09-13T16:25:55-04:00

Dr. L, clinical psychologist, Greenfield, MA

https://monadnockmyofascialrelease.com/testimonials/i-leave-feeling-revived/

MFR worked miracles.

The month after getting home I fell pregnant and was over the moon, and unfortunately we miscarried 9 weeks after, but MFR helped me to process my emotions as they came up and let it out of my body. I can't tell you how much it helped only to say that 6 weeks later we conceived again and I now have a healthy 4 week old boy in my arms and I am beyond thrilled. Also, I apparently fell pregnant from the side the DR's had said was a blocked tube. So your MFR treatment worked miracles.

Belinda McCauley, Massage Therapist, Australia

Monadnock Myofascial Release

2016-09-13T16:27:55-04:00

Belinda McCauley, Massage Therapist, Australia

https://monadnockmyofascialrelease.com/testimonials/mfr-worked-miracles/

Monadnock Myofascial Release

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