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Evergreen Medical Acupuncture
Telemedicine appointments are now available at
Evergreen Medical Acupuncture, LLC
Choose clinic location
Evergreen Medical Acupuncture, LLC
Appointment details
Are you a new or existing patient at this clinic
New patient
Existing patient
Choose a service
Services are specific to each office
Choose a service
.Medical Acupuncture
Cosmetic Facial Acupuncture
Cupping/KT Tape
Electric Dry Needling
Fertility Acupuncture w Dr. Zundelevich
Functional Medicine Consultation Via Phone ($25 per 15 mins)
Injection therapy
Kids Acupuncture & TCM
Labor Induction
Needle-free treatments
Telemedicine Services ($25 per 15 mins)
Duration:
minutes
Choose a provider
Select the practitioner or skip this step if you do not have a preference
Choose practitioner
Dr. Christina Fick
Dr. Jill Zundelevich
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Available times
Prev week
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Next week
Mon
, Aug 10
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Tue
, Aug 11
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Wed
, Aug 12
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Thu
, Aug 13
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Fri
, Aug 14
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Sat
, Aug 15
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Insurance verification
If you want to use insurance for your visit please fill out the fields below so that we can verify your coverage
Choose
yes
no
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
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Insurance Provider Phone Number
Located on back of insurance card
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Covered under someone else's insurance plan?
Select "yes" if you are covered under someone else's insurance
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Patient relationship to insured
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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
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Yes
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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
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and
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Please read and accept the cancellation policy.
