Forms | Sari Hands Scottsdale Arizona
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Facilitating Health and Wholeness

Forms

If you plan to bill insurance, please discuss this with Sari in advance of your first session.

Insurance Verification

*When you arrive at my office, please have a seat in the waiting room and I will come to get you for your appointment.
For adult paperwork, please print and complete the following:

Wellness Face Sheet

Financial Policies

**Please read Privacy Policies (Updated 9/23/13) and print a copy for your records if you wish

Privacy Practices
To pay by credit card, please print and complete the following:

Credit Card Authorization
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For Pediatric Clients (up to age 10), please print and complete the following:


Pediatric Face Sheet

Financial Policies

**Please read Privacy Policies (Updated 9/23/13) and print a copy for your records if you wish

Privacy Practices



Please contact Sari with questions: Sari@sarihands.com
© Sari Hands PLC
Sari Lewis • Phone 480–206-6592 • Email Sari
14362 N. Frank Lloyd Wright Blvd. • Suite 1000 • Scottsdale, AZ 85260
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