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Costs
We are a fee-for-service practice. We DO NOT accept any insurances.
We do provide a "superbill" with charges and codes listed that can be submitted by the patient to their insurance company for an out of network encounter. This may or may not result in some reimbursement (Not available for Medicare Patients).
Payment by check or cash only, expected at the time of the visit. No credit cards.
Integrative Medicine
CONSULTS
Comprehensive intake, includes Osteopathy and/or Acupuncture Treatment
$200 - $350
Integrative Medicine
Follow Up Appointments
Comprehensive reevaluation, Osteopathy +/- Acupuncture
$150 - $275
Regenerative Medicine
CONSULTS
Comprehensive intake, Diagnostic Musculoskeletal Ultrasound, and Imaging Review
$350 - $550
Regenerative Medicine
Injection Procedures
Comprehensive re-evaluation, Ultrasound Guided Procedure
Prolotherapy & Perineural
$350 - $1,250
Platelet Rich Plasma (PRP)
$750 - $2,250
Patient Forms
After being given an appointment , complete and submit the secure forms below, prior to that appointment
(DO NOT COMPLETE THESE FORMS UNLESS
YOU HAVE BEEN GIVEN AN APPOINTMENT)
Patient Forms:
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New Patient Medical History Form to complete and submit
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Notice of Privacy Practices for Patient Review only
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Signature page confirming Privacy Practices were reviewed to complete and submit
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HIPAA Release Form to complete and submit
1. New Patient Medical History Form to complete and submit
2. Notice of Privacy Practices for Patient Review only
3. Signature page confirming Privacy Practices were reviewed. SIGN and submit
4. HIPAA Release Form to complete and submit
Contact our office if you have any difficulties in completing these forms:
814-616-0123
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