Helpful Forms

These forms are provided here in an effort to utilize the most time at your appointment for massage rather than paperwork.  Please print, complete, and bring the New Client Intake Forms, Cupping Therapies Release Form, and if applicable, the Premera Blue Cross and the Insurance Verification Forms to your first massage session.  If you are utilizing insurance to pay for your massage session, please be prepared to bring your doctors prescription  as well as a copy of your health insurance card.  Your doctor may also fax the prescription directly to (888) 200-6642.

Thank you.

New client intake forms

medical history, disclosures, insurance information

Premera Blue Cross and Medical Necessity

Understanding Insurance and Medical Necessity

Insurance Verification Form

A worksheet to complete verifying insurance benefits and coverage

Cupping Therapies Release Form

An informational form authorizing Cupping Therapies

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