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New Patient Forms for acupuncture


New Patient acupuncture and fertility forms for the initial visit

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New Patient Forms for acupuncture


New Patient acupuncture and fertility forms for the initial visit

NEW PATIENT

Forms

Please print off and complete the forms below to bring with for your first appointment.

*For musculoskeletal issues that are basic in nature you only need to print and fill out the first two pages of the General Intake as well as the complete the Mandatory Disclosure & Informed Consent.




The practice accepts insurance for acupuncture patients and is network currently with  Cigna and United Healthcare but accepts out of network insurance as well. In order to best serve you, please have your insurance verified before your scheduled appointment. Please click on the link below and complete the online form- this verification takes 48 hours . If your appointment time is scheduled before the allowed 48 hour verification time frame, please include the words "RUSH Verification" in the Additional Information box provided at the bottom of the verification screen to expedite the process. We will contact you as soon as the benefits are established. 

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Initial Acupuncture Visit


An explanation to the patient of how to prepare and what they can expect at their initial acupuncture visit at Acupuncture Wellness & Fertility Clinic, Arlington Heights.

Initial Acupuncture Visit


An explanation to the patient of how to prepare and what they can expect at their initial acupuncture visit at Acupuncture Wellness & Fertility Clinic, Arlington Heights.

NEW PATIENT

Initial  Acupuncture Visit
FAQ's

What Should I Expect On My First Visit?

All treatment begins with a proper diagnosis, which takes place during your first visit. A lot of time is spent getting a complete picture of your health and lifestyle, especially if you are coming in for fertility related issues or complex health issues. We examine the condition of your tongue (is it cracked, coated, excessively pink? etc.) and check your pulse on both wrists (the quality of your pulse gives information about possible imbalances). We’ll also ask questions about your emotional state and specific symptoms you may have. This is done because we are treating the whole person which is often different than the western paradigm.

The first visit (with diagnosis) can last from an hour to an hour and a half depending on the nature of the issue and it includes a consultation in addition to an acupuncture treatment. Your subsequent visits will be much faster and last about 45 minutes to an hour. A follow up consists of a review of your progress followed by an acupuncture treatment.

If it’s warranted, we also may recommend an herbal formula. Herbs are nearly always combined in a balanced fashion, where different herbs have supporting effects. Thousands of years of use and research have shown that this is far more effective than large doses of a single substance.

Typically acupuncture treatments are given once a week, especially initially. If the condition is acute and painful or if one is prepping for an egg retrieval in an IVF cycle, treatments may be given 2-3 times per week for a period of time. The exact duration of treatment depends on the condition, your basic level of health, and how well you respond to acupuncture.

Do I need to do anything to prepare for my first acupuncture visit?

  • Make sure to eat something light an hour or two before arriving
  • Do not eat a heavy meal or drink alcohol right before treatment
  • Try to minimize the intake of caffeine
  • Wear clothes that are either strecthy or loose 
  • Bring any relevant imaging or lab work with you
  • Bring completed online intake forms(VERY IMPORTANT)
  • Please arrive on time so that you may benefit fully