Peaceful Spirit Acupuncture Clinic

Patient Intake Forms/Insurance Policy

Please complete the following forms and bring in with you as part of your initial visit:

Patient Information and Consent Form
Patient Medical History #1
Patient Medical History #2
Patient Medical History #3

Is acupuncture covered by insurance?

I am a provider for Excellus Blue Cross & Blue Shield plans, Via Health, and MVP. Please call the Customer Service number of your insurance card to see if you have coverage for acupuncture, as every plan is different.

The only senior plan that covers acupuncture is Preferred Gold.

At this time I do not accept Workman's Compensation or No Fault cases.