FORMS

NEW PATIENT INTAKE & COVID ATTESTATION

COVID ATTESTATION

Please submit this quick COVID-19 statement before each appointment, until further notice. 

Thank You!

NEW PATIENT INTAKE

Please click and complete before your first appointment with Healing Massage LA. You only need to complete this one time, unless you need to update any information. 

 
 

COVID ATTESTATION

Please fill out the following form accurately and honestly.

Have you or anyone you are in contact with, tested positive for COVID-19 in the last 14 days?
Are you experiencing or have you experienced a fever in the last 48 hours?
Thank You!