
Intake Forms
Please print, complete, and bring the appropriate forms to your first appointment. All clients need to print and complete the Financial Policy Agreement.
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Financial Policy Agreement- All new clients must complete this form.
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Acupuncture Intake Forms - Please complete the following 5 forms and bring them to your Initial Acupuncture Consultation Appointment.
Financial Policy
Thank you for choosing Facilitated Healing on your healing journey! Our team of licensed practitioners and certified instructors is committed to providing individualized care to make your treatment successful.
Our financial policy is in place so that misunderstandings or frustrations in regards to payment for services will not occur.
Payment is due in full at the time of service. We accept cash, checks, and all major credit cards.
We also accept Health Savings Account (HSA) and Flex Spending Account (FSA) plans/cards.
Missed Appointments:
If less than 24 hours advance notice is given for missing an appointment, you will be charged 50% of the scheduled appointment fee. This amount must be paid in full prior to scheduling your next appointment.
There is a fee of $20 for all returned checks.
Thank you for helping us serve you better!