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- Fee for services is due at the time of the
office visit. I accept cash, check, VISA,
MasterCard and Discover.
- If your insurance policy covers acupuncture, I
will provide you with the appropriate statement
for your reimbursement including diagnostic
and treatment codes.
- A small fee will be charged if an appointment is
cancelled without 24 hour notice.
- If I assess that your case will be better served
by another holistic modality or conventional
health care, I will refer you to appropriate
professionals according to my best ability.
- I do not make recommendations about
physician prescribed medications but, instead,
refer you back to that physician for further
assessment. Improvements in your symptoms
may signal a need to reduce or eliminate
medications. Do not try to change your
medications without professional
medical advice.
- In case of emergencies, please contact your
primary care physician or go to an emergency
room as soon as possible.
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Download any of the below forms
to fill out before inital visit
 Registration Form
Health History
Questionnaire
Men
Women
Notice of Privacy Practices and Notice of Health Information (HIPPA)
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