Helpful Forms

If you have any questions, concerns or if you need help filling out any of the forms below please do not hesitate to reach out to our office at (253)-209-8535

New Patient Intake Form (MVA/L&I patients ONLY)

Please fill this form out prior to your first visit. You may either email it to jessicajhazel@yahoo.com, fax it to (253)-862-6002, or bring it with you to your first session. Thank you!

New Patient Intake Form (Self paying patients ONLY)

Please fill this form out prior to your first visit. You may either email it to jessicajhazel@yahoo.com, fax it to (253)-862-6002, or bring it with you to your first session. Thank you!

New Patient Intake Form (Insurance patients ONLY)

Please fill this form out prior to your first visit. You may either email it to jessicajhazel@yahoo.com, fax it to (253)-862-6002, or bring it with you to your first session. Thank you!

Premera Reimbursement Form

For possible reimbursement through your Premera insurance please fill out this form and submit to your insurance company.

Corporate Massage Contract

If you'd like to set up massage for your company as a one-day treat or as a recurring benefit, this contract lays out the details of our agreement.

Minor Liability Release Form

This form allows a parent or legal guardian to give permission to perform massage on a minor client.

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