New patient Forms
Bonnie Bolash New Patient Form (pdf)
DownloadHealth Partners New Patient Forms 2023.7 (pdf)
DownloadHealth Partners patient symptom inventory 2023 (pdf)
DownloadBlue Cross and Blue Shield New Patient Form (pdf)
DownloadPain Inventory (pdf)
DownloadCigna New Patient (pdf)
DownloadUnited Healthcare New Patient (pdf)
DownloadMedicare Advance Beneficiary Notice (pdf)
DownloadNon participating Provider Financial Disclosure (pdf)
DownloadWorkers Compensation Form (pdf)
DownloadAutomobile Accident Insurance Form (pdf)
DownloadInitial Consultation and Follow up Consultations
Acupuncture
Acupressure
Cupping
Guasha
Auricular acupuncture
Stress Program
Chronic Pain Management Program
Payment is expected at each appointment unless prior arrangements have been made. We accept cash, check or credit cards via pay pal invoicing.
Injury Insurance: Most injuries involving a work or auto related accident may have coverage for acupuncture. It is best to contact your insurance company to follow the correct procedure for coverage. We accept assignment and will bill on work or auto related injuries.
Health Insurance: Some health insurance companies may cover the costs of acupuncture, while others may not. It is important to check with your insurer before you start treatment to see whether acupuncture is covered for your condition and, if so, to what extent. We can file an electronic claim for most insurance companies on your behalf.
Participating Provider for: BCBS of Minnesota, Veterans Choice Program, Medical Assistance, MNCare and Health Partners.
Health Partners is only a Maple Grove covered service.
The initial appointment consists of a consultation, evaluation, and your first acupuncture treatment. Follow-up appointments usually include a brief updated evaluation and an acupuncture treatment.
What may happen in the consultation and evaluation? This may include questioning, palpating areas of the body, looking at your tongue, taking your pulse and other observations that will assist in formulating a Chinese medical diagnosis. For most acute symptoms with no history of chronic illnesses/diseases/injury 3 to 5 visits may be sufficient to deal with the condition. Most chronic conditions will require a 8-10 treatment series to see if acupuncture may be helpful followed by a treatment schedule for your desired outcome. Like with all medicine each individual responds differently to treatment. A treatment plan may consist of one or more of the following: acupuncture, acupressure, Tuina (massage), cupping, or other modalities that fall under the scope of Traditional Chinese Medicine.
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