Forms

This page has several forms that we may ask you do fill out before your appointment. All of the forms below are PDF files – you can download and fill them out.

  1. This form collects information about your health insurance coverage. If your insurance will be covering the cost of your massage session(s), please download and fill this form out. This includes Worker’s Comp and L&I claims.
  2. Private  health insurance requires a prescription for massage. This form collects all of the information we need to bill your carrier.
  3. This is our health intake form and gives Cypress basic information about your health issues and status so that she can best serve you during your sessions.
  4. If you’re scheduling a session that involved breast or pelvic massage, we need you to read and fill out this informed consent form. Please ask us if anything is not clear.