Intake Forms

"One Oahu" Required COVID-19 Screening

This screening measure is required under the "One Oahu" reopening strategy to prevent the spread of COVID-19. 

"If a service provider or client/customer answers “yes” to questions 1-3, they should not provide or receive services at the Provider’s facility. Providers may provide services to those clients/customers who answer “yes” to questions 4 and 5."

This data will be maintained for a minimum of 28 days and it is required to be given to State and City health officials upon request.

Click below to fill out the required documents:

COVID-19 Screening

Massage Intake (A paper option is also available before your session)

Creative Abundance Intake

Therapist use