holistic healing by lisa

nurturing the mind, body, & soul

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new client forms


Welcome to holistic healing by lisa!

Please complete and bring all forms below to your first appointment.

An original Disclosure and Release Form will be given to you to sign at the time of your appointment.  I do not accept medical insurance at this time.  I accept cash and checks.  Payment is expected at the time of service.

Again, welcome.  I look forward to working with you!


New Client Intake FormOffice PoliciesDisclosure & Release Form
contact lisa:

Madison 101
427 S. Marengo Ave., #1
Pasadena, CA  91101
562.964.8733

lisa@holistichealingbylisa.com
www.madison101salon.com

Location accessible by Metro Gold Line -
Del Mar Station

Lisa Lewis, Energy Healing Practitioner & Body Mind Counselor      Los Angeles, CA