forms and fees


My office is located at 3804 Piedmont Avenue, at the corner of Piedmont and Yosemite.  It is on the second floor (there is one flight of stairs and no elevator), with the entrance on Piedmont Avenue.  There is metered parking on Piedmont Ave and free two-hour parking on surrounding streets (Yosemite, Rio Vista).  

After August 1st I will be moving to 3873 Piedmont Avenue–on the west side of the street between Rio Vista and Montell. There is one flight of stairs and no elevator.


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:


I currently accept most in-network insurance. It is important to submit your insurance information either by email or on the online patient portal prior to your first visit so we can verify that you have benefits, determine your copay, deductible, and other limitations to your coverage.

  • Initial Consultation and Acupuncture Treatment* (90 minutes):
    • no insurance—payment at time of service: $110 
    • insurance: your coverage determines your co-payment + $30 fee for comprehensive initial intake + amount applied to deductible
  • Return Acupuncture Visit (60 minutes):
    • no insurance—payment at time of service: $80 
    • insurance: your coverage determines your co-payment + amount applied to deductible 
  • Cupping or Gua Sha** with your acupuncture treatment is an additional $25 
    • same with or without insurance since most in-network insurance does not cover these manual therapies
  • Initial Herbal Consultation (no acupuncture) 30-45 minutes: $75  
  • Return Herbal Consultation (no acupuncture) 20-30 minutes: $45
  • Cupping or Gua Sha only 30 minutes: $40