We're sorry that unfortunate events are bringing you in for your desired consultations and treatments. In order to best serve you, we do ask that you fill out the items below prior to your scheduled appointment. We're always here to help serve you in the healing process and journey.
Worker's comp and MVA patients must thoroughly complete these forms ***no later than 24 hours prior*** to first consultation/treatment with your practitioner/acupuncturist. Please consult with your insurance adjuster to obtain this information. Our fax number is 651-283-2906.
To download, print and fax us your forms, please click on the corresponding links below:
Worker's Comp Intake Data Forms See HERE.
Motor Vehicle Intake Data Forms See HERE.
Worker's comp and MVA patients must thoroughly complete these forms ***no later than 24 hours prior*** to first consultation/treatment with your practitioner/acupuncturist. Please consult with your insurance adjuster to obtain this information. Our fax number is 651-283-2906.
To download, print and fax us your forms, please click on the corresponding links below:
Worker's Comp Intake Data Forms See HERE.
Motor Vehicle Intake Data Forms See HERE.