Clinic Forms

PAPER SUBMISSION FORMS: Print and fill out these forms to speed up the intake process during your first visit.

 

ONLINE SUBMISSION OF MASSAGE THERAPY FORM:

Prescriptions with treatment plans for Massage Therapy are required for all HMA and Regence patients for plans that require authorization.  The form below is our prescription for massage therapy.  Print it out and take to your Primary Care Provider or Chiropractor for signature.  Bring it back to us and we will keep it on file for medical billing:

  • Massage Therapy Prescription, Referral, Med. Necessity

 

Other forms/informational material of interest: