Acupuncture New Patient Forms
New patients can click the link above to download the 5 page packet to complete and bring to their first visit. Included is a Health History, Privacy Practices, Financial Policy, and Consent Form. Please complete as thoroughly as possible and feel free to contact me with any questions or concerns.
NEW PATIENT CHECKLIST:
FEES FOR ACUPUNCTURE SERVICES
PRIVATE / INDIVIDUAL TREATMENTS:
Initial Visit - $90 for 60-90 mins
Return Visit - $70 for 60 mins
Above prices reflect treatment of a single problem area or condition and a single insertion of needles, with a discount for paying in full at time of service. Additional problem areas or conditions, additional insertions of acupuncture needles, or additional therapies may be added for an additional charge. I can bill Personal Injury/Motor Vehicle Accidents (PIP/MVA) and many local insurance companies directly. Any co-pays and deductibles are due at time of service. I will gladly issue a superbill at any time for potential reimbursement of fees paid.
Please note that coverage by an insurance carrier is not a guarantee of payment and ultimately the patient is responsible for charges incurred.