health form | Touch Education

top of page

Use tab to navigate through the menu items.

How are you feeling today?

First Name

Last Name

Email

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Locations:

Garden Of Eden Massage
4342 Harrison Ave
Cincinnati, OH 45211

Mailing Address:

4564 Fehr Rd

Cincinnati, OH 45238

Florida Info

(407) 308-2110

MM# 35669

50-9319

450438-07

bottom of page