Acupuncture New Patient FormsNew patients can click the link above to download the 4 page packet to complete and bring to their first visit. Included is a Health History, Privacy Practices, and Consent Form. Please complete as thoroughly as possible and feel free to contact me with any questions or concerns. You will sign my Financial Policy when you arrive at the office.
NEW PATIENT CHECKLIST:
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FEES FOR ACUPUNCTURE SERVICES
GROUP TREATMENTS:
Initial/Return Visit - $25 for 60 - 75 minutes
PRIVATE/INDIVIDUAL TREATMENTS: Initial Visit - $65 for 75 mins Return Visit - $50 for 60 mins
Above prices reflect a discount for paying in full at time of service. I can bill Personal Injury/Motor Vehicle Accidents (PIP/MVA) and most local insurance companies directly. Any copays 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. |
