Mead Acupuncture

Helpful Forms

The following forms will be provided at your first appointment for you to fill out.  You may also complete them prior to the appointment and bring them with you.  

Intake Form

For all new patients

HIPAA

for all patients

Informed Consent/Physician Advisory

Two releases for treatment

Insurance Billing Authorization

To be filled out by those with Acupuncture Coverage on Insurance

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