Forms
Print, complete, and sign all the forms below. Please bring these completed forms with you to your initial appointment.
- New Patient Form
- Notice of Privacy Practices
- Financial Arrangements
- Assignment of Payment & Late Cancellation
- HIPPA Notice (Not necessary to print)
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 below and complete the online form. I will contact you as soon as the benefits are established.