HEALTH SAVINGS ACCOUNTS

For most HRA and HSA contributions you will need to visit your doctor to obtain the following prior to receiving services:

  • Assessment (preferably with ICD Codes)

  • Diagnosis (All Findings)

  • Treatment Plan for specified number of months before reassessment (Alternative Wellness services and supplements)

If the client wishes for us to give suggestions to present to his/her physician, we may do so ahead of their scheduled appointment(s). Once the Treatment plan is received on the physician office's letterhead, he/she may attach a PDF of all documentation to the form below or email to LaToyia.Mays@thelayacenter.com. After services have been rendered, we will provide a detailed invoice of services received, service date, etc together with the treatment plan each time the client comes in for treatments.

 

Please complete the form below and attach documentation from your physician.