Emma Robar Massage Therapy
Click the icon to the left to download a health history form. This form can be filled out electronically and printed. You can also print it and fill it out in blue or black pen. Bring the completed form with you to your appointment
Click the icon to the left to download a consent form. This form must be printed and completed in blue or black pen. Bring the completed form with you to your appointment.
For everyone eligible for E-billing under their insurance plan (those with Blue Cross DO NOT need to fill out these forms); fill out these two forms and sign them in blue or black pen. If you have Blue Cross, you do not need to fill out these forms. ONLY fill out the section labeled PATIENT and sign at the bottom. Your therapist will fill out the section marked Provider.
NOTE: Paperwork must be completed prior to treatment. If you cannot access the forms, please arrive 15 minutes prior to your scheduled appointment to fill them out at the clinic.
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