The inevitable new client paperwork

If this is your first session with us OR if it has been over a year since you last came in, please follow the instructions below:

New client printable forms (EVERYONE)

Please bring these COMPLETED forms with you to your first session. If you need to fill them out at the office, notify your practitioner well in advance to allow for the extra time so it won’t shorten your session.

Health History 
2 pages

Client Agreements 
2 pages

New client printable forms (INSURANCE)

If we are billing your insurance AT ALL (even just to eat up your deductible, you MUST bring us the completed and signed form below:

Health Insurance 
1 page

Auto or Workerā€™s Comp Insurance  
1 page

Insurance coverage verification

As a courtesy Body Balance will bill your insurance, but YOU are ultimately responsible for the payment.  

We need at least a week to verify your benefits.   All information is kept strictly confidential.

HIPAA Privacy Policies

DO NOT BRING THIS WITH YOU. THIS IS ONLY FOR YOU TO HAVE.

Notice of Privacy Policy