Health History & Consent (4 pg. pdf)
Acknowledgement of Privacy Practices (1 pg. pdf)
Scope of Practice (1 pg. pdf)
Notice of Privacy Practices (3 pg. pdf)
Earth and Sky Healing Arts is contracted as a preferred provide with only one health insurance network:
First Choice Health Network
If you are part of this network, please contact your insurance company and complete the insurance verification form with a representative over the phone. This will enable you to clearly determine the degree of coverage by your provider.
Insurance Verification Form (1 pg. pdf)
If you are not part of this network, we are able to submit a receipt electronically to your insurance company and they will reimburse you directly for the coverage agreement for out of network practitioners. Payment is due at the time of treatment. Though we are able to bill your insurance company as a courtesy to you the ultimate financial obligation belongs to you and not your insurance company.
We accept payment at time of service. The fee structure is based on treatment time. We can discuss this at your first visit.
There may be additional fees for use of other modalities including tui na, heat lamp, gua sha, moxa and cupping. Please note that insurance does not cover the cost of herbs.