top of page

New Patient Consent to Treat Form

Welcome! To help us prepare for your first visit, please complete our online

New Patient Intake and Informed Consent form before your appointment. Thank you!

​Community Acupuncture
Consent to Treat Forms

Please complete our Consent to Treat form before the event. Thank you!

Insurance Verification Form

Many PPO insurance plans cover acupuncture. We're happy to check your benefits for you! Please complete the Insurance Verification Form below. If your plan doesn't cover acupuncture or we're out-of-network, we can provide you with a Super Bill to submit to your insurance company for possible reimbursement. Coverage and reimbursement amounts vary by plan.

Acupuncture Tools_edited.jpg

©2025 AcuVeda LLC

bottom of page