Circle of Wellness Rockford IL

Oncology Massage Intake Form – Rockford, IL

Receiving an Oncology Massage

It is important to consult with your medical team before receiving bodywork. Prior to program participation. Circle of Wellness clients should have their physician’s signed approval. Please ensure you have the correct form pre-approved prior to program participation. Call Circle of Wellness if you have any questions. Oncology Massage is a specialized and therapeutic massage session, tailored for the person in cancer treatment or recovery.

Unlike many other massage modalities, oncology massage is not a series of techniques or applied protocols. Rather, it is the therapist’s ability to identify and work within a framework of clinical considerations in order to make the bodywork adjustments that may be required as a result of any positioning, pressure or site considerations, i.e. medical devices, treatment related side effects from medication, chemotherapy, radiation or surgery, and the required massage stroke direction modifications if lymph nodes were compromised during treatment.

For each patient, positioning, pressure or site considerations are different, and during treatment can change from day to day.

Your oncology-trained massage therapist will customize your bodywork service to address your individual needs, and will regularly check in with you to assess your level of comfort and make any requested bodywork adjustments.

Even in the years after recovery, there may be special considerations that need to be taken into account during your bodywork service. Always request an oncology-trained massage therapist.

During Your Oncology Massage

Your therapist will ask you questions to determine what site, positioning, and pressure adjustments you require, and clarify which areas you would specifically like attention paid to and which not. Many patients are most comfortable positioned lying on their back and a massage can be provided while remaining in this position.

Most bodywork services are enjoyed while modestly draped and without clothing, however, fully clothed bodywork is easily accommodated. Your personal level of comfort is of primary importance.

Circle of Wellness Special Requirements

  • Please ensure you completely fill out your paperwork and submit it before beginning your massage.
  • Wear comfortable clothing and dress in layers
  • No perfume please
  • Please arrive on time. If you are running late or need to cancel, please call.

Program Time Line

  • Arrive a few minutes ahead of time to update any necessary intake paperwork.
  • Patient/Therapist intake review
  • Enjoy massage


All oncology patients must have their physician sign a release form.  Click below to download the form.  The form may be uploaded with the intake form submission or sent directly to [email protected]

Physician Release Form

Body Scan Tool

To request a consultation,
complete the Body Scan Tool