Forms, Fees, and Insurance

Forms

Health History & Consent Forms (7 pg. pdf)

Insurance

At this time, all payments are required at the time of service.  A superbill will be provided that you can submit to your insurance for reimbursement as outlined in your policy for out of network providers.

Fees

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.

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Cancellation Policy

We require 24 hours notice to cancel appointments and incur no fee. If you cancel within 24 hours or miss the appointment, you will be charged a $50 missed appointment fee. Please be advised that insurance does not reimburse for missed appointments.

SuperUser2016@WPForms, Fees, and Insurance