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All the Forms!
Here are all of our forms in one place.


All the forms are in PDF format.
If you don't have the PDF reader you can get it here (it's free):
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For Patients

Non insurance Forms:
Intake Form (Health Information Form)
Insurance Forms:

Intake Form (Health Information Form) page 1
Intake Form (Health Information Form) page 2
Insurance Verification Request
Authorization and Assignment
Prescription Referral




  For Referring Doctors

Prescription Referral Form




  
  For 12th Avenue Therapists

If you are with 12th Avenue Massage Therapy Group you can get a copy of all office forms when you log in:

12th Avenue Therapists
  
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