The forms below request information that is important for your care. Please print the appropriate forms, complete them and bring them with you to your initial appointment.

If you want a relaxation massage and you will be paying for it yourself (without insurance involvement), use this form:
Intake Form for Self Pay

If you want me to bill your health insurance, use these forms:
Massage for Upper Body, Insured
Massage for Lower Back, Insured

If you were in an automobile accident and you are billing against your Personal Injury Protection (PIP), use these forms:
Personal Injury Protection (PIP) Form for Neck Pain
Personal Injury Protection (PIP) Form for Lower Back Pain

If you want a copy of the privacy statement for my practice, read this form.
Privacy