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New Patient Information
For clients seeing Roxane Geller LAc, LMP or Vickie Summers LAc, LMP please download and complete the Health Intake form and the Insurance form. On your first visit, we recommend eating something no more the 2 hours prior to the treatment. Wear comfortable clothing and bring in all forms and insurance information.

Forms
Health Intake Form & Treatment Authorization
Insurance Form


Acupuncture Fees
First Visit is 1 ½-2 hours: $110
Return Visits are 50-60 minutes: $80
Sliding scale is available on an individual basis
Checks and cash accepted for payment

Please contact us at least 24 hours in advance for an appointment changes.

For massage and other treatment modality fees, please
contact the practitioner directly.


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GENERAL INFO & FORMS

© 2008 Union Center for Healing all rights reserved

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