Insurance Form

Please note we only accept insurance for acupuncture. Most insurance companies require a diagnosis of chronic lower back pain. Medicare will only cover chronic low back pain. It is important to mention that acupuncture treatment can promote healing over the whole body.

Insurance Form

Name(Required)
MM slash DD slash YYYY
Gender(Required)

Primary Insurance

Secondary Insurance

See If We Take Your Insurance

Click the Button & Fill Out the Quick Form. It only takes 17 seconds...