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Accepted Health Insurances:
Kaiser/CHP

Please note: Health Insurance plans differ in what therapies are covered and must be verified before treatment is rendered.

Health Insurance co-pay is due at time of service.
Checks or cash accepted only.

Please submit your Insurance info below to verify massage therapy coverage.
All personal info is kept confidential and is only used to verify Insurance benefits.
Thank you.


Health Insurance Company name
Health Insurance contact phone# for PROVIDERS or Customer Service (found on back of card)
Your first and last name as shown on Insurance card
Your contact phone number
Your e-mail address
Your street address (needed for billing purposes only)
Date of birth
Health Insurance ID number (include any letters that appear before the numbers if applicable)
How do you prefer to be contacted?
phone call
text
e-mail
All options are fine
Please describe any pain or discomfort you are feeling that you want addressed during your treatment or write any questions you may have below. Thank you.
Please note: In order to accomodate all clients, same day appointments are not always available. Thank you for your patience.