Forms

Check Your Insurance

My practice accepts insurance for acupuncture patients. In order to best serve you I can verify your insurance benefits before you arrive. Please click on the link and complete the online form. We will contact you as soon as the benefits are established.

General Patient Intake Form

If you are a new patient, it's better to fill the Intake Form before you walk into our office. This form for all the initial patents. It will save your time.

The Herbal Detox Program Intake Form

After you fill the general patient intake form, the Herbal Detox Program need your more information.

Informed Consent Form for Acupuncture Treatment

Informed Consent Form for the Herbal Detox Program

General Financial Policy

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