forms and fees

location:

tbd

forms:  

Most forms can be filled out through the online patient portal. If you are unable to use the online interface for some reason, you can download these pdf forms to print, fill out, and bring to your appointment:

fees:  

I am in-network with United HealthCare, plans that are managed by Optum, and Federal Employee Plans managed by Blue Shield. I can still bill your insurance or offer a superbill if you have out-of-network benefits. If you want to use your insurance, it is important to submit your insurance information either by email or on the online patient portal (catielowder.acubliss.app) prior to your first visit so we can verify your benefits.

  • Initial Consultation and Acupuncture Treatment* (90 minutes):
    • no insurance—payment at time of service: $130 
    • insurance: your coverage determines your co-payment + $40 fee for comprehensive initial intake + amount applied to deductible
  • Return Acupuncture Visit (60 minutes):
    • no insurance—payment at time of service: $90 
    • insurance: your coverage determines your co-payment + amount applied to deductible 
  • Cupping or Gua Sha** with your acupuncture treatment is an additional $30 
    • same with or without insurance since most in-network insurance does not cover these manual therapies
  • Initial Herbal Consultation (no acupuncture) 30-45 minutes: $80  
  • Return Herbal Consultation (no acupuncture) 20-30 minutes: $50