Clinic Forms And Insurance

 

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

 

New Patient Health History Form (PDF, Adobe Reader required)

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

 

Kaiser Insurance Initial Health Form.  Only for Kaiser Patient’s. This is in addition to the above “New Patient Intake Form”

 

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.