Forms

To better customize our treatments to your needs, new patients should download, print and fill out the Intake Form by clicking on the pdf link of the treatment you will be receiving. Thank you for taking the time to fill out the corresponding forms prior to your visit.

Centered Spirit

TRADITIONAL MAYA MEDICINE FORM

MASSAGE THERAPY FORM

INFRARED SAUNA FORM

COVID-19

RELEASE FORM

Vitality Holistic Medicine Acupuncture with Janet Lee

NEW PATIENT FERTILITY

NEW PATIENT NON-FERTILITY

INFORMED CONSTENT

MEDICAL CONDITIONS

PAIN QUESTIONNAIRE

Covid-19 Health Declaration

How are you feeling today?

Thanks for submitting!

 

Therapeutic

Massage

MASSAGE THERAPY FORM