PAPER SUBMISSION FORMS: Print and fill out these forms to speed up the intake process during your first visit. If you are not a Labor and Industry or Motor Vehicle Patient, please register and log into our scheduling program and fill out an online health intake and patient registration form that will be added to your patient file.
REFERRAL FORMS AVAILABLE FOR PRIMARY CARE PROVIDERS:
Prescriptions with treatment plans for Massage Therapy are required for all HMA and Regence patients for plans that require authorization.
The following referral forms are available for referring providers. Primary care providers may be Physicians, Chiropractors,
Naturopathic physicians, Podiatric physicians, Advanced registered nurse practitioners, Physician assistants, Dentists, and Optometrists. Please check with your insurance plan to confirm who is accepted as a referring provider.
- Massage Therapy Medical Prescription, Referral, Med. Necessity 2018
- LNI Acupuncture Health Intake 2018
Other forms/informational material of interest: