Name

First Name

Last Name

Birthdate

D/O/B

Email Address

Phone

(###)

###

####

Have we worked together before?

If no, please take a moment to fill out the intake form on this page before the time of our first session!

Desired Serivce:

Would you like for me to check insurance benefits?:

If no, please leave blank.

What are you looking to gain from your session?

How were you referenced to my work?

Thank you for your request

With gratitude! My practice is primarily referral based, and I have a working relationship with everyone whom I schedule. With this personal connection in mind, I will contact you directly in 24 hours to connect further about your needs from bodywork, the current schedule, and long term scheduling. I do not specialize in acute injury therapy and can not guarantee a same-week appointment. My work is more geared towards chronic conditions and long term benefit. Thank you for your time! In well regards, Zeah Katz LMT #19121

The nature of my work focuses solely on preventative and restorative massage care. I do not respond to emergency or crisis situations that do not directly involve my practice. Please reference the appropriate emergency or crisis response to support any immediate needs.

Zeah Katz | Intuitive Healing

Intuitive Healing Massage Therapy

Schedule Today

Massage Therapy

❇

Give the gift of Massage

Intuitive Healing Facebook Page