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Post-Surgery Recovery
Chronic Pain Relief
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Health Benefits
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Blog
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- Contact
- Forms
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×

Post-Surgery Recovery
Chronic Pain Relief
Services
Health Benefits
About
Blog
FAQs
Contact
- Contact
- Forms
- Pricing

Post-Surgery Recovery
Chronic Pain Relief
Services
Health Benefits
About
Blog
FAQs
Contact
- Contact
- Forms
- Pricing

×

Post-Surgery Recovery
Chronic Pain Relief
Services
Health Benefits
About
Blog
FAQs
Contact
- Contact
- Forms
- Pricing

Patient Forms

Save time before your appointment by completing your forms in advance.

Please complete the forms below before your visit so we can spend more time focused on your care and less time on paperwork.

If you have questions while completing your forms, call us at (208) 823-3339.

New Patient / Intake Form

Complete this form before your first appointment so our team has the information needed to better understand your health history, goals, and service interests.

Open New Patient Form

General Liability Form

Review and complete this liability and consent form before receiving services at Magic Valley Hyperbarics & Bodyworks.

"*" indicates required fields

Step 1 of 10

10%

Email

This field is for validation purposes and should be left unchanged.

Patient Information

Full legal name*

Date of birth*

MM slash DD slash YYYY

Phone number*

Email address*

Mailing address

Street Address City State ZIP Code

Emergency contact name

Emergency contact phone number

Relationship to emergency contact

Services Receiving

Which services are you receiving or interested in?

Hyperbaric Oxygen Therapy

Myofascial Adhesion Release

Shockwave Therapy

Massage Therapy

Red Light Therapy

Post-Surgery Recovery Support

Chronic Pain Relief Support

Not sure yet

Other

Other

Health Disclosure Questions

Do you have an untreated pneumothorax?

Yes

No

Are you currently pregnant?

Yes

No

Do you have a history of seizures?

Yes

No

Do you have ear, sinus, or pressure equalization issues?

Yes

No

Do you have COPD or another lung condition?

Yes

No

Do you have a pacemaker or implanted medical device?

Yes

No

Have you had recent surgery?

Yes

No

Do you have open wounds or infection concerns?

Yes

No

Are you currently under a doctor’s care for a serious medical condition?

Yes

No

Are you currently taking any medications we should be aware of?

Yes

No

Have you ever had complications with massage, red light therapy, HBOT, or bodywork services?

Yes

No

Please list any medical conditions, injuries, surgeries, medications, allergies, or health concerns we should know about.

Acknowledgement of Services

I understand that services provided by Magic Valley Hyperbarics & Bodyworks are intended to support wellness and recovery and are not a substitute for medical diagnosis, emergency care, or treatment from a licensed medical provider.*

I understand that services provided by Magic Valley Hyperbarics & Bodyworks are intended to support wellness and recovery and are not a substitute for medical diagnosis, emergency care, or treatment from a licensed medical provider.

Possible Temporary Effects

I understand these possible temporary effects and agree to notify staff immediately if I experience discomfort during a session.*

I understand these possible temporary effects and agree to notify staff immediately if I experience discomfort during a session.

Assumption of Risk and Release of Liability

I understand that participation in wellness, recovery, bodywork, and therapy services may involve some level of risk.*

I understand that participation in wellness, recovery, bodywork, and therapy services may involve some level of risk.

Emergency Authorization

In the event of an emergency, I authorize Magic Valley Hyperbarics & Bodyworks staff to seek emergency medical assistance on my behalf.*

In the event of an emergency, I authorize Magic Valley Hyperbarics & Bodyworks staff to seek emergency medical assistance on my behalf.

Communication Permission

I give permission for Magic Valley Hyperbarics & Bodyworks to contact me by phone regarding appointments, services, and follow-up.*

I give permission for Magic Valley Hyperbarics & Bodyworks to contact me by phone regarding appointments, services, and follow-up.

Photo / Video Permission

I give permission for Magic Valley Hyperbarics & Bodyworks to use photos or videos of me for marketing, education, or social media purposes.

Yes, I give permission.

No, I do not give permission.

Patient signature

Date

MM slash DD slash YYYY

Parent/guardian name, if patient is under 18

Parent/guardian signature, if patient is under 18

Date

MM slash DD slash YYYY

Open General Liability Form

6a0d06e5336eb_download-2026-05-20T00-56-59 (1)

608 Shoup Ave. W.
Twin Falls, ID 83301

(208) 823-3339

(208) 431-8337
hbot.twinfalls@gmail.com

Post-Surgery Recovery
Chronic Pain Relief
Hyperbaric Oxygen Therapy
Myofascial Adhesion Release
Massage Therapy
Red Light Therapy
Health Benefits
About
Blog
FAQs
Contact
Forms
Pricing

Post-Surgery Recovery
Chronic Pain Relief
Hyperbaric Oxygen Therapy
Myofascial Adhesion Release
Massage Therapy
Red Light Therapy
Health Benefits
About
Blog
FAQs
Contact
Forms
Pricing

© 2026, Magic Valley Hyperbarics & Bodyworks. All Rights Reserved.

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