Intake Forms

Thank you for choosing the Acupuncture Healing Center for your care. Please fill out the following documents and bring them to your first appointment.

Consent to Treat Form

Health History Form

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Insurance Information

Carmela is in-network with UnitedHealthcare and Aetna • Alecia is in-network with Aetna

Not all insurance plans cover acupuncture.
While we are happy to verify benefits when possible, we cannot guarantee coverage, deductible status, copay amounts, or claim payment. Patients are ultimately responsible for any charges not covered by their insurance plan.