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Client Forms
Coming for the first time? Please download and fill out the forms listed below. Bring the completed forms with you during the first consultation.
Payment Policy
Payment Methods:
For your convenience, we accept cash, personal checks, and PayPal. The charge for each session is due at the time of service.
Insurance:
We do not accept insurance; however, upon request we will provide you with a superbill that you can use to get reimbursed from your insurance company.
Cancelled Appointments:
We require that you give the courtesy of 24 hours' notice if you need to cancel or change an appointment. You will be charged a cancellation fee of $115 ($130 for weekend) without exception for missed appointments without such notice.
© 2018 by Mason Myofascial Physical Therapy.
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