Forms Fees

 

ACUPUNCTURE

Our office accepts most PPO Insurances with Acupuncture coverage;

we are a participating provider with PPO options of United Health Care, Blue Shield, Oscar, Landmark and Blue Cross, we also accept most Cigna PPO plans. Acupuncture consultation and treatment length depends on your insurance coverage and can range between 30-60 min.

For patients with no Acupuncture Coverage our cash prices:

First visit consultation and treatment (60-80 min): $110

Follow up treatments: $75 (60min)

Please download the Acupuncture Intake form below, fill in all the shaded areas, and check all the boxes, you should return this form to us prior to your first visit via email to s_daghighi@yahoo.com.

Acupuncture Form

ACUPUNCTURE FOR FERTILITY

Our office does NOT accept any HMO insurances for gynecology/fertility, also very few PPO insurances cover gynecology/fertility related issues, please call our office at 818-642-3512 to verify your insurance coverage level.

Acupuncture for Fertility Cash prices:

First visit consultation and treatment (60-90 min): $110

Follow up treatments (60min): $75

Herbs and Supplementations if needed are extra charge Please download the Fertility Acupuncture intake form from the link below, fill out the shaded areas and answer all the questions to best of your ability. You should return the completed form to us prior to your first visit; you return the completed to us via email to s_daghighi@yahoo.com

 

Fertility Acupuncture Form

Acu And Herbs 818 642 3512 100-1000
16260 Ventura Blvd, Suite LL16 Encino CA 91436