Forms
To determine if your insurance will cover therapy at Sari Hands PLC
Insurance Verification
For Insurance paperwork (age 12 and older) please print and complete the following:
Privacy Practices
Insurance Face Sheet
Financial Policies
For Wellness paperwork, please print and complete the following:
Privacy Practices
Wellness Face Sheet
Financial Policies
For pediatric clients (up to age 12)
Privacy Practices
Pediatric Face Sheet
Financial Policies
To pay by credit card, please print and complete the following:
Credit Card Authorization