INSURANCE

We can verify your insurance for Acupuncture coverage.

Listed on insurance card
Name of Primary Subscriber *
Name of Primary Subscriber
Listed on the insurance card
Name of Patient, if different from primary subscriber
Name of Patient, if different from primary subscriber
Primary Subscriber's Date of Birth (DOB) *
Primary Subscriber's Date of Birth (DOB)
Patient's Date of Birth (DOB)
Patient's Date of Birth (DOB)
Patient Phone Number *
Patient Phone Number
Insurance Company Provider Phone Number *
Insurance Company Provider Phone Number
Provider phone number is listed on insurance card.

What should I bring to my first appointment?