Forms and Prices
Home
FAQs
Pain Relief Q & A
About Geoffrey
Contact Geoffrey
Links
Forms and Prices
Testimonials

Mobile office! Get treated in the comfort of your own home!
 
Now accepting most private insurance. Call for details.
(Pending)

To download all of the forms before your appointment, please click on the links provided below, then print and fill them out and bring them in with you.

Informed Consent

HIPPA Consent Form

Intake Form

HIPPA Questionaire

5 Element Intake

Financial Policy

 
Initial Consultation/Treatment:$75
Established visit/Treatment : $60
 
Travel Charge: No charge within 15 miles. $1 mile  i.e. 16 mi = $16, 17 mi =$17.

Pre-paid packages are not subject to private insurance.

 
Initial visit pre-paid Packages:

6-pack - 1 initial acupuncture treatment and evaluation, 5 acupuncture follow-up treatments including (not limited to) any supplemental treatment needed; Therapeutic Exercise, Manual Therapy, Moxibustion, Cupping.

($375) 10% discount - $337.50 ($37.50 savings)

10-pack - 1 initial acupuncture treatment and evaluation, 9 acupuncture follow-up treatments including (not limited to) any supplemental treatment needed; Therapeutic Exercise, Manual Therapy, Moxibustion, Cupping.

($615) 15% discount - $522.75 ($92.25 savings)

Follow up treatment Packages:

6-pack - 6 acupuncture treatments including (not limited to) any supplemental treatment needed; Therapeutic Exercise, Manual Therapy, Moxibustion, Cupping.

($360)  10% discount - $324 ($36 savings)

10-pack - 10 acupuncture treatments including (not limited to) any supplemental treatment needed; Therapeutic Exercise, Manual Therapy, Moxibustion, Cupping.

($600)  15% discount - $510 ($90 savings)

Pre-paid Monthly Health Plan - $300 (recurring)

Includes:

Up to 6 Treatments  including (not limited to) any supplemental treatment needed; Therapeutic Exercise, Manual Therapy, Moxibustion, Cupping. (FREE initial intake if applicable)

Unlimited phone consultations

1 additional Full re-assessment/intake every year

2 gift certificates every 6 months to give to someone else, good for: 1 FREE consultation and treatment.

REFERRAL Program: For every 3 referral patients you bring in, you get a $60 credit towards future services or $20 Gift Certificate/Cash !! (Your choice)
Please make sure they list you as the referral to get proper credit.

***Join the Wellness Club!!!***

 $100 (non-refundable) and get $10 off All of your treatments for an ENTIRE YEAR!!! It'll pay for itself!! (cannot be combined with pre-paid Packages)