Forms Available for Downloading

Our Intake Forms are available for you to download here. You can save time by filling out the appropriate form(s) and bringing it in with you on your first visit.

Our Prescription Form is for insurance clients. This form helps us bill your insurance company faster and more efficiently. Just give it to your doctor or chiropractor, they can fax it to us or you can bring it in.


Intake Form

Prescription Form

Pure Escape Med Spa
13106 SE 240th St, Suite 202
Kent, WA 98031
Phone: 253-256-2521
Fax: 253-639-4809
Office Hours

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