If you plan on using your health insurance to cover your massage sessions, you must complete the following forms. I have provided them here for your convenience.
Health History Form:
This form is used to explain your reason for receiving massage and what kind of ailments you have or had. This form is the only form required for first time clients who are not using their health insurance benefits.
HIPAA Consent Form:
This form is required for insurance billing purposes. Please fill it out completely prior to your appointment.
Patient Request for Restriction Form (optional):
This form is optional, unless you wish to restrict the uses and disclosures of your protected health information (PHI).