12th Avenue Massage Therapy Group
Insurance Verification
If you are interested in seeing a Massage Therapist at 12th Avenue Massage Therapy Group and would like to find out if your insurance will cover Massage Therapy, we need some basic information. There are several ways you can get this information to us:
• Online Insurance Verification
• Fax
• Deliver directly to the office
• Email
All information will be kept private. Your email address will only be used to let you know if you are covered or not.
Your information will be kept private and your contact information will only be used for the verification process.
Fax or Deliver
Print the form below, fill out the information, and fax or drop off at the office.
Fax:
850.432.6815
Address:
2100 N. 12th Avenue
Pensacola, FL
32503
Visit our Contact Us page for a map and directions.
Email
If you would prefer to use email, send the following information. (you can copy/paste the following into your email)
- Full Name
- Date of Birth
- Name of Insurance Company
- If BCBS, which state?
- Insurance Type
- If PIP, what is the Date of Accident
- Insurance ID
- Insurance Contact number
- Relationship to Insured
- Have you already spoken with a Massage Therapist at 12th Avenue Massage Therapy Group?
- Therapist's Name
- Your Contact Info (email or phone)
- Additional Information or Comments
Email to:
contact@12thAvenueMassage.com
