Forms

 

 

Please download, print and fill out forms prior to your first visit and bring them with you. This will decrease the amount of time in our waiting room. You can fill out the PDF forms online by using Adobe and email them to revive@rmtvancouvermassage.ca

 

New Patients please note: any information you input for the Online Booking is NOT part of your intake/patient form.

​

New Patient Intake Form (front)

New Patient Intake Form (back)

​​

​

​

Self Assessment Questionnaire (no need to fill anything out)

Please ask yourself and answer these questions before attending your appointment:

​

1. Do you have a fever, rash, contagious skin condition, cough, worsening chronic cough, shortness of breath or  difficulty breathing?

2. Do you have a confirmed case of COVID-19, are you awaiting the test results for COVID-19, or come in close contact with someone with COVID-19?

​

​

If you answered YES to any of the screening questions, please call/email the clinic to reschedule your appointment.