Questionnaire

Please print the Questionnaire and fill it out. If there is anything that doesn’t apply to you, leave it blank.

Bring it with you to your first appointment.

Thank you. Looking forward to our session!

 

Insurance Verification

If you have insurance that covers Acupuncture, or may cover it, please print out the Insurance Verification form. Then, phone your insurance company or check online for the answers to the questions. If insurance is verified, we will be happy to bill your insurance company for you.