Clinic Forms And Insurance


New Patients: Print and fill out this form to speed up the intake process during your first visit.


New Patient Intake Form (PDF, Adobe Reader required)

Remember to Uncheck the Free! McAfee Security Scan Plus when you download the Adobe Reader


Insurance coverage for acupuncture

I accept most PPO insurance plans and can check you insurance coverage for acupuncture.

You can call or send me a email with the following information:

Name of Insurance Company.
Full Name of Insured.
Birth Date of Insured.
Insurance ID#.

I will email or call you in 1-2 business days to tell you if you have coverage, and your remaining deductible, if any.

Most HSA & FSA accounts cover acupuncture and herbs.