(206) 713-7169

Forms

We recommend you download, print and complete your forms at home, otherwise, please plan to arrive 20 minutes early and complete at clinic so you don’t lose table time.

HEALING & RELAXATION (SELF-PAID)

INJURY TREATMENT (INSURANCE-BASED)

Healthcare Insurance:  We NO LONGER accept medical healthcare plans and Injured Workers claims (effective 02/01/2023.)

Motor Vehicle Accidents, Motorcycle Accidents, and Slip & Fall Injuries: Your Personal Injury Protection (PIP) auto or motorcycle policy or Home Owners Insurance must have benefits remaining. Doctor referral for massage therapy is required. No 3rd party claims. 

 

ALL plans require your doctor’s diagnosis of your problems and the areas authorized for treatment. Most plans require this information to be written on a referral.