Below are forms available for you to fill out prior to your appointment.
NEW PATIENTS:
Acupuncture: A non-refundable initial payment of $120.00 due at time of scheduling appointment is required to hold your appointment.
FootBaths: non-refundable fee $35 due at time of scheduling appointment.
Iridology: non-refundable fee $125.00 due at time of scheduling appointment.
Please be advised this office does not accept insurance. We are not providers for any insurance company. If your insurance company claims to cover Acupuncture you may submit to your insurance for reimbursement.
ALL PATIENTS:
Appointments cancelled less than 24 hours notice will be charged the full cost of the session. Monday appointments, cancellations must be made by 2 pm Friday.
Important: If you are NOT filling out paperwork ahead of time and are doing so the day of your appointment please arrive 30 minutes prior to avoid running into your treatment time. I start on time. Thank you
Initial Acupuncture Treatment: $120.00
Follow-up Acupuncture visits: $80.00
Cupping: $40.00 (30 min)
B-12 Shots-$25
Lipo-Plex Shots-$30
Wellness Shots-$50
Homeopathic Shots-$50
Iridology-$125
Detox Foot Baths-$35
Below are the Forms: You can print forms and bring them in or e-mail them to amsmgemini@yahoo.com
| acupuncture_paperwork_.pdf |
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Form for Child:
children_forms.pdf |
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