Forms
To save some time at your first visit, print out the INTAKE form and bring it with you! I also have them on-hand if you do not have access to a printer. Come in a few minutes before you first appointment to fill this out!
If you have been in a motor vehicle accident, please print out ALL forms below. You MUST have the prescription form filled out by your physician or chiropractor to have massage services paid through your claim.
General information and consent for treatment
This needs to be filled out by your physician or a chiropractor when using an insurance claim.
This form is so that I may have access to your medical file to create a treatment plan for your insurance claim.
If your accident is in litigation, your attorney will pay for services rendered at the time of case settlement.
Release of records, payment agreement and assignment of benefits
Note: To download Adobe Acrobat Reader for free, click here.