Client Info

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This information is to prepare you for your acupuncture treatment.

On the day of your treatment, make sure you have eaten within 3-4 hours but do not overeat.

A Twinkie and a coke doesn’t equal a meal…

Wear loose comfortable clothing if you can, if needed draping and gowns will be provided.

You should not be intoxicated.

Having you be as clear as possible will help us figure out your particular patterns. Caffeine should be avoided treatment day or try your best.

Please keep your dosage of pain meds to a minimum; this will help us assess relief during the treatment.

Please let us know if you are trying to get pregnant or if you are pregnant.

Try to pay particular attention to the issue you are getting treated for. This means noticing where in the shoulder does it hurt, exactly…what is the nature of the pain? Hot, burning, dull and achy? These are the kinds of questions that may be asked during the assessment interview.

If you are on medications or are taking supplements, it is a great idea to bring a complete list for your practitioner.

If you are not sure your insurance policy covers Acupuncture, we would be happy to check for you free of charge.

You can fill out the forms here online or feel free to call us with your information. You may also fax us a copy of your insurance card with your DOB and phone number on it.