New Patient Information
Please fill out the medical history form as completely as possible. The information you provide is necessary to get started on the road to great health. If you have any questions, please make a list and bring them with you to your first appointment.
We encourage you to schedule appointments in advance to ensure you receive and retain the time slot you most desire. If you have scheduled appointments in advance, and wish to make changes, it is your responsibility to cancel existing appointments. If you are unsure of your appointment, please call the office.
Please give me a minimum of 24 hours notice to cancel an appointment. If you have missed or rescheduled an appointment with less than 24 hours notice, you will be responsible for the full charge of the office visit. In the case of �acts of mother nature� such as snowstorms or family illness, we wave our cancellation policy. We unfortunately have time constraints that do not allow for patients being more than 20 minutes late. If you find that you are running late, please give the office a call to avoid making an unnecessary trip. We will make every effort to accommodate your circumstances.
Payment and Insurance
We are set up for direct pay only. We ask that you pay at the time of your visit. We accept check, cash, Visa, and Mastercard as forms of payment. Although we do not bill insurance companies, we will be happy to provide you with the documentation you may need to submit for reimbursement.
This office uses sterile, disposable needles.
Loose, comfortable clothing is best, as acupuncture therapy involves palpation and treatment of various parts of the body. Draping will be provided to ensure modesty. Please refrain from wearing excessive jewelry, as some metals may interfere with the efficacy of the therapy. We ask that you refrain from wearing perfume, strongly scented oils or lotions on the days you visit the clinic.
Chip often has students assisting him in clinic. Their presence in the room is entirely up to you . If you would like to see Chip alone please feel free to ask for privacy.
Initial Intake Forms
Initial intake forms can be downloaded here. Please bring these with you to your first office visit or arrive 15 minutes prior to that visit to fill them out here in the office.