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We Accept Insurance!
Let Us Check Your Coverage

Our office can determine if our services would be covered by your particular insurance policy. We have successfully processed claims from insurance companies such as United, Cigna, Aetna, and Blue Cross/Blue Shield, to name a few. We are a participating provider with Blue Cross Blue Shield and United Healthcare. We can bill other plans as long as they're not an HMO.

Should your policy be ineligible, we offer discounted rates for payment at time of the office visit. Please call or email us to discuss a self-pay treatment plan.

We accept only checks and cash for payment.

Privacy Policy

By submitting this form, I understand that my personal information will be used initially for the insurance verification process. Once a scheduled consultation and treatment has been conducted, your information may be used for billing your insurance company for payment of services rendered. The information will be accessible to Healthpointe Acupuncture staff and to a third-party biller. I understand that I have the right to request restrictions with the use and disclosure of my health information.

Insurance Verification Form
Please note that all fields followed by an asterisk must be filled in.
Patient First Name*
Patient Last Name*
Gender*
Male
Female
Date of Birth*
E-mail Address*
Home Phone*
Insurance Company*
Provider Phone # From Back of Insurance Card*
Subscriber ID*
Insured's Name (if different from patient)
Relationship to Insured
Self
Married
Other
Insured's Date of Birth
How did you hear about us?
Other Information

Please enter the word that you see below.

  

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We're Moving!!

As of 12/5/11 we will be in a new office:

121 Congressional Lane

Suite 404

Rockville, MD 20852

It's a great location and we look forward to seeing you there!

Our phone and all other info remain the same.

schedule online now

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