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)
Insurance Verification: This link takes you to a secure site so your insurance can be verified by my insurance biller. Please allow 2 business days for a response.
Please fill out the required information to see if insurance will cover your acupuncture treatment. Keep in mind acupuncture can treat a wide variety of health conditions and you have a better chance of approval if you include pain related issues. Example: sinus issues and knee pain, fertility and low back pain etc. To verify insurance click on this secure link: Insurance Verification