ALL PATIENTS MUST READ AND SIGN:

Office visit guidelines. They will be in the patient portal for you to sign there. They are available to read here: 

               Covid Office visit guidelines

All New Patients – 

You will be sent an invitation to a secure patient portal for us to communicate and to get the necessary documents you need to read and sign. You do NOT need to print out these documents but they are available for you to read here. Once you have signed in you should be able to save that URL and get back in with our email address and password.

If you forget the link or have problems, try this link or email me and I can send you another invitation.

https://acusimple.com/access/5642/#/portal/

ACUPUNCTURE PATIENT FORMS:

Patient Rights and ResponsibilitiesYou do not need to print this out, but keep for your reference.

All Acupuncture patients must fill out and sign the following forms you will access in the patient portal. They are presented here for you to read

OCAcu CONSENT for tx 

OCAcu Hippa Consent

ARBITRATION AGREEMENT

OCAcu Cash agree 

I am not on any health insurance networks although I do treat MVA patients and will bill them directly.  You, the patient, are responsible for your health and costs. Payment is required at the time of service. I can provide a “Superbill”, if needed, that provides your insurance company more information about your treatment which you may choose to submit to them.  Any reimbursement they pay on that will be sent directly to you.

I accept cash, check, credit and debit. Most HSA and FSA cards will work also.

There is also a health history form in the portal for you to fill out along with the basic contact information. 

NAET Treatments

All NAET patients must read:

Patient Rights and Responsibilities – You do not need to print this out, but keep for your reference.

All NAET patients must fill out and sign these forms found in the patient portal:

As above – The HIPPA consent,
Office Consent for acupuncture as we often also do acupuncture
Arbitration Agreement
OCAcu Cash Agreement – for acupuncture
Health history in the patient portal
Covid guidelines

Specifically for NAET patients:

Instructions to a new NAET Pt

OCAcu NAET Financial Agreement

NAET consent 

NAET Allergy Rating Sheet