Participant Forms

We ask that you take a minute to complete forms before your first visit to MoonRise. These help us to gain a better understand of you and your goals, allowing us to provide the best experience for you as possible!

There is a fillable PDF which you can complete on your computer. You may also print this off and fill it out by hand.

Please email all forms to office@moonrsietherapeutics.org or mail them to us at PO Box 90, Taftsville, VT 05073.


Forms needed before your first visit:

  • Client Application
  • Emergency Release Form
  • Media & Photo Waiver and Release Form
  • COVID-19 Assumption of Risk Policy

Online Fillable PDF

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