AcuWell Burlington Acupuncture, Cosmetic Acupuncture, Facial Rejuvenation, and Bodywork

Information for New Patients

Insurance:

I am credentialed with Blue Cross Blue Shield (BCBS) and MVP, and many insurance plans now include acupuncture coverage. Since every plan is different, I recommend checking with your provider before your appointment. It’s helpful to ask if you need to meet a deductible first, what your copay or coinsurance might be, and how many visits are covered each year. You’re also welcome to use HSA/FSA cards for acupuncture and bodywork.

If you're paying out of pocket—whether you don’t have insurance coverage or haven’t met your deductible—the listed services include a “time of service” discount, which must be paid on the day of your visit. Prices may vary when billing insurance, depending on the treatment and medical necessity. We accept HSA/FSA cards, cash, checks, and credit cards. Sliding scale options are available for those experiencing financial hardship—please don’t hesitate to reach out with any questions.

Your First Visit:

Welcome! At your first acupuncture appointment, you'll be asked to complete a detailed intake form covering your health history, lifestyle, and emotional well-being. This holistic approach helps us understand the full picture, as past experiences often influence current symptoms.

After reviewing your form, we’ll talk about your health concerns and perform a traditional diagnostic exam, including a tongue and pulse check—key tools in Traditional Asian Medicine that provide insight into your overall condition.

Your treatment will include about twenty acupuncture points tailored to your needs. You'll then relax in a private, cozy room on a heated table for 15–20 minutes. Many patients find this time deeply calming—some even drift off to sleep.

Downloadable Forms

To save time, you're welcome to download and complete your forms at home. Just bring them with you to your appointment.

Please note: Due to HIPAA regulations, we cannot accept forms via email.

Acupuncture Intake Form

Acupuncture Informed Consent Form

AcuFacial Informed Consent Form

Authorization to Bill Insurance Form