Plant Street Acupuncture

Choose clinic location

Appointment details

Are you a new or existing patient at this clinic

Choose a service Services are specific to each office

Choose a provider Select the practitioner or skip this step if you do not have a preference

Reason for visit

Patient name

Email address

Phone number

Available times

Sun, Aug 19

No availabilities found on this day.

Mon, Aug 20

No availabilities found on this day.

Tue, Aug 21

No availabilities found on this day.

Wed, Aug 22

No availabilities found on this day.

Thu, Aug 23

No availabilities found on this day.

Fri, Aug 24

No availabilities found on this day.

Sat, Aug 25

No availabilities found on this day.

Insurance verification

Insurance Information

We are happy to file for insurance as a courtesy to you. As stated by your insurance company: “Verification of benefits is no guarantee of payment.” If you have insurance and we file with your carrier for you, you will be responsible for all charges not paid by the insurance company. In addition, the balance due is your responsibility if we have not received payment from your insurance company within 60 days.

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

I have read and accept the Terms of Use and Privacy Policy

© 2011-2018, Unified Practice, Inc. f.k.a.Chinese Medical Technologies, Inc. All rights reserved. The Unified Practice TM product, application, its components and various applicable related content and methodologies are proprietary to Chinese Medical Technologies, Inc., and are U.S. and International patent pending. The “Unified Practice” name, logo, and application icon are trademarks of Chinese Medical Technologies, Inc.

Privacy Policy | Terms of Use