Please fill out this form before your first appointment. You can fill out the form on your own computer and then print it.
Financial Responsibility & Benefits
Please complete and sign this form if you plan on using your insurance.
Massage Order Form
This is a form your doctor can fill out for you to obtain exemption from sales tax for your massage therapy sessions. The doctor may also write a massage order on his own letterhead. Please do NOT use this form if you plan on using your insurance. In that case, you will need to provide a regular prescription for one or more covered diagnoses.