New Clients:
As a new client (or newly filing an insurance claim), you will need to complete several of these forms. Health history is required for all clients; the others are only needed if you plan to pay for treatment through medical or auto insurance. For general information about insurance coverage, click here.
- Insurance Coverage - a set of questions you can ask your carrier to clarify your coverage for alternative therapies (optional) Download Insurance Questionnaire
- Health History Form - for women Download Client Intake - Woman
- Health History Form - for men Download Client intake - Man
- Health History Form - for girls (under 18 years old) Download Client intake - Girl
- Health History Form - for boys (under 18 years old) Download Client Intake - Boy
- Insurance Information - Medical Claim, adult Download Medical Claim - Adult
- Insurance Information - Medical Claim, child Download Medical Claim - Child
- Insurance Information - PIP/Auto accident Claim, adult Download Auto Accident Claim - Adult
- Insurance Information - PIP/Auto accident Claim, child Download Auto Accident Claim - Child
- Prescription for Massage Services - generic form Download Prescription Form
For Richard's clients:
These are essays that Richard has written about posture and maintaining core balance. They are great reminders as you work together on improving your health and alignment.
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Download Alignment, balance and core muscle tone
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Download Finding your balance
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Download Strategies of stability
For Lauren's clients:
These are articles and handouts that Lauren has written to help clients (and students) learn about the work she does, or how to take care of themselves at home.
- Self-care for TMJ and Jaw Problems Download TMJ Homecare
- Intraoral Work and Jaw Pain Download Intraoral Essay


