Joslynn Adams Acupuncture

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Patient name

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Available times

Sat, Sep 23

No availabilities found on this day.

Sun, Sep 24

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Mon, Sep 25

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Tue, Sep 26

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Wed, Sep 27

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Thu, Sep 28

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Fri, Sep 29

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Sat, Sep 30

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Insurance verification

Insurance Information

We accept all major insurance. Please fill out your insurance information in the on-boarding section to verify your benefits prior to your visit. I am IN - Network with Blue Cross Blue Shield, United Healthcare and VA.

If you want to use insurance for your visit please fill out the fields below so that we can verify your coverage

Name of Primary Insurance (Blue Cross, Aetna, Anthem etc.)

Insurance Type (HMO, PPO etc.)

ID # on insurance card The ID number on your insurance card

Group number

Insurance Provider Phone Number Located on back of insurance card

Claim address Located on the back of insurance card

City

ZipCode

State

Covered under someone else's insurance plan? Select "yes" if you are covered under someone else's insurance

Patient relationship to insured

First Name of Insured Party First Name of the primary policy holder

Middle Name of Insured Party Middle Name of the primary policy holder

Last Name of Insured Party Last Name of the primary policy holder

Insured Party Date of Birth Date of birth of the primary policy holder

Auto Accident? No-Fault / Personal Injury

Date of accident Please bring your authorization form to the office

Case/Claim #

Case Manager's Name

Case Manager's Phone #

Address to submit claims

Employment Accident? Workers Compensation

Date of injury Please bring your authorization form to the office

Case/Claim #

Employers Name

Employers Address

Insurance company name

Insurance company phone

Insurance company address

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Joslynn Adams Acupuncture

Choose clinic location

Appointment details

Available times

Insurance verification

Cancellation Policy