Contact/Insurance Verify (Now accepting HSA cards)
First Name:

First Name:


Last Name:

Last Name:


Phone Number:

Phone Number:


Email:

Email:


Questions/Comments:

Questions/Comments:


1.  For CHIROPRACTIC Care only: Please verify my insurance benefits?

1. For CHIROPRACTIC Care only: Please verify my insurance benefits?

2.  Insured's First name?

2. Insured's First name?


3.  Insured's Last name?

3. Insured's Last name?


4.  Insured's date of birth?

4. Insured's date of birth?


5.  Patient's first name?

5. Patient's first name?


6.  Patient's last name?

6. Patient's last name?


7.  Patient's date of birth?

7. Patient's date of birth?


8.  Insurance Company name?

8. Insurance Company name?


9.  Policy or member ID #

9. Policy or member ID #


10.  Verification phone # from back of card?

10. Verification phone # from back of card?


Peaceful Spirit Therapeutic Massage Centers, LLC.

Mailing Address:

2930 N. Country Club Rd.

Tucson, Az. 85716

(520) 320-1953

E-mail: info@bestmassageintucson.com

Please see "Our Locations" page for full list of options.


11.  Verifier

11. Verifier

For security purposes, we ask that you enter the security code that is shown in the graphic. Please enter the code exactly as it is shown in the graphic.
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