Welcome to The Local Healer! If you are a new patient, our wonderful biller can do a courtesy check on your benefits, if she has at least two full business days before your appointment to do this. If she's unable to get us a verification on benefits, we require payment at the time of service and can reimburse you once we find out if your benefits cover acupuncture. 

Alternatively, you can verify benefits yourself by downloading this form, calling your insurance company, filling it out and bringing it to us at your first appointment. 

Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
Date of Your Initial Appointment for Acupuncture *
Date of Your Initial Appointment for Acupuncture
(So we can try to get your benefits verified by the time you come.)
Policy Holder (If different than patient)
Policy Holder (If different than patient)
Policy Holder's Date of Birth (if different than patient)
Policy Holder's Date of Birth (if different than patient)