In Your World
Dallas, Texas

Insurance Reimburements

This are the forms clients will use for anything related to Insurance Reimbursements.

Bring everything in filled out by you and your Doctor. Client pays us for service they received. We then fill out all the paperwork on our end and return it to the client (No more then a two week period from the time of their visit). Then you send it to your Insurance provider for reimbursements.

*No discounts can be used when billing Insurance Companies.


Health Information form- Any Client can use this form because its our standard In-Take form.

 

Screening Questionnaire form- More information about the client.

 

Body Map for Clients- Client fills out for Massage Therapist.

 

Health Status Update form- Massage Therapist fills out.

 

Client Feedback form- Client fills out for Massage Therapist.

 

Physician's Permission form- Doctor fills out.

 

Physician's Referral form- Doctor fills out.

 

Billing Information form- Client fills out.

Associated Bodywork & Massage Professionals
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