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Patient Info
Please click the Intake Form button - print the form, complete it, and bring it with you to your first appointment.

Please be sure to read our Office Policies below.

Note: The forms on this site require a PDF viewer - if you do not have a PDF viewer, click here to download a free version.
Fees: $220 for initial visit - $110 for follow-up visits.

Insurance: A growing number of insurance companies will reimburse for acupuncture treatments. Consult your insurer for the terms of coverage on your policy. However, full payment is due at the time of each treatment. A receipt will be given after each treatment for patients to submit for insurance reimbursement.

Payment Methods: We prefer cash and checks and also accept all major credit cards to which a 5% usage fee will be added

Confidentiality: Patient confidentiality as required by state law is maintained at all times.

Cancellation Policy: Cancellations must be made at least 24 hours before treatment or a cancellation fee will be assessed.

Treatment Suggestions: To get the most from treatments, avoid caffeinated and alcoholic beverages the day of treatment and for at least 24 hours afterwards. Similarly, avoid strenuous exercise before and after treatments.
Office Policies
DR. ACQUAH IS NO LONGER ACCEPTING NEW PATIENTS.