Insurance/Pricing

Date of Birth *

Cash Pricing:

Please note: Pricing can vary depending on complexity and duration of treatments. The following is an estimate of pricing with a time-of-service discount.

Acupuncture: Initial Visit $125

- 1 hr 15 min to 1 hr 30 min

Follow up visit options:

$75- Focused Acupuncture treatment

(typically, 1 unit of acupuncture of other modality)

-about 45 minutes

$95- Comprehensive Acupuncture treatment

(typically, 2 units acupuncture, or 1 acupuncture and 1 other modality, ex. cupping, massage)

-about 1 hour

$115- Extended Acupuncture treatment

(typically, 2 units acupuncture plus one other modality, ex. cupping, massage)

-about 1 hour 15 minutes

Check if there is secondary insurance. Then please resubmit new form with secondary information.

This is primary insurance information

This is seconday insurance information

Online Appointment Booking

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Online Appointment Booking

Your Relationship to Insured

Name: *

Address *

Insurance Company *

Name of Insured (if someone other than you)

Troutdale Acupuncture

ID # of Insured (if someone other than you)

ID # Including letters: *

Insurance Customer Service # or Benefits Verification # (usually located on the back of your ID card) *

Phone *

Comments

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Date of Birth of Insured (if someone other than you)

Request Insurance Verification of Acupuncture

Fill out the form below. Usually takes 2-3 business days.

Booking is easy!

1. Book online or call (503-545-2393)

2. If you have insurance, fill our verification below

3. We will e-mail you paperwork for you to fill out ahead of time, or you can arrive 15 minutes early.

call us today:

+1.5035452393