L. BOULDS MASSAGE

Helpful Forms

The following forms are designed to help us work together more easily:

If you have a precription for massage therapy then please download and fill out Massage Polices, Fees and Policies and Health History - Insurance, PIP and L&I Clients.

If this is your 1st visit and you are not using your Insurance then please download and fill out Massage Policies and Health History - Cash Clients.

Thank you.

Massage Policies

Please read, sign and date form for your 1st visit.

Fees and Policies

Please read, sign and date form for your 1st visit/for Private Ins., PIP and L&I.

Health History - Cash Clients

Please fill out this form and bring it to your 1st visit.

Health History - Insurance, PIP and L&I Clients

If your treatment is part of an insurance, PIP or L & I claim, please fill out this form and bring it to your 1st visit.

Note: To download Adobe Acrobat Reader for free, click here.