Forms

Quick links to: HIPAA consent and Notice of Privacy Practices Special Consent for Massage and Bodywork SE Informed Consent.2021 Manual Lymphatic Drainage Intake Disclosure Authorization

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Tip It Forward

Beginning in September 2021, Bevin has set aside any money given in excess of her stated fees in a “Tip it Forward” fund. This money has been used to make her work accessible to folks across a broader economic spectrum through very low-cost or gifted bodywork. Inspired by this practitioner in Kentucky and by the…

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Another Way to Pay

In general payment at time of service with cash, check, or credit/debit card is great. Gift certificates should be purchased through the booking site. Here are some other options for payment: Venmo: @Bevin-Keely PayPal: @bevinkeely CashApp: $BevinKeely Thanks!

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Health Insurance, L&I, PIP

At this time we are not preferred providers in any health insurance networks. If your health insurance offers out-of-network massage benefits we can furnish you with the proper paperwork to try to get our work reimbursed at the out-of-network rate if you wish. For all clients billing insurance of any kind, we ask that you…

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Insurance Paperwork

Here are some resources for those of you wanting to submit claims to your insurance companies for out-of-network reimbursement: Premera’s Claim Form Aetna’s Claim Form Menu Cigna Claim Form You will need a billing statement from us to submit along with the form from your insurance company, and many times they will want us to…

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Health Savings Account/Flexible Spending Account

One of the trends we have noticed over the past couple of years is the rise in Health Savings Accounts (HSA’s). More companies seem to be choosing high-deductible insurance plans and contributing some money to attached HSA’s for their employees as health care costs rise and insurance premiums become unwieldy. Massage therapy and bodywork is…

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Medical Necessity

To get your massage covered by your insurance, you will need a prescription from your doctor, even if your insurance plan says you don’t. This ensures that your massage is “Medically Necessary”, which keeps us out of trouble. It is outside of our scope of practice to diagnose your injury, and yet we must have…

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