Print and complete your forms at home or arrive 15 minutes early so you don’t lose table time.
COVID-19 Health Consent (ALL CLIENTS)
- Client COVID-19 Consent form – Complete at EACH Treatment
HEALING & RELAXATION (CASH-BASED)
INJURY TREATMENT (INSURANCE-BASED)
Healthcare Insurance Accepted: Aetna, BlueCross BlueShield (not Boeing), First Choice, Premera, and Kaiser Options/PPO and a doctor referral for massage. (Only Terri Rossi, LMT, takes Healthcare Insurance patients.)
Motor Vehicle Accidents: Need Personal Injury Protection (PIP) policy and a doctor referral for massage. (Terri Rossi, LMT, and Ramona Dickson, LMT, take PIP patients.)
Injured Worker (L&I) or Crime Victim: Need APPROVED claim and a doctor referral for massage. (Terri Rossi, LMT, and Ramona Dickson, LMT, take L&I patients.)
If using Healthcare Insurance, YOU must call your plan in advance to verify benefits, annual deductible, co-insurance and/or office co-pay. We do NOT do this for you. You will need to:
- Verify that you have Massage benefits from a massage therapist (some Premera plans cover massage only from a chiropractor or PT).
- Verify remaining Annual Deductible – what you must pay BEFORE insurance starts to pay.
- Verify Co-Insurance – what you pay when insurance pays less than 100%.
- Verify Office Co-Pay – what you pay for each massage session.