Patient Forms

Schedule an Appointment

Ageless Acupuncture is open Tuesday-Saturday 11am-6pm. Other times are available upon request. To schedule an appointment please feel free to call, email or fill out one of the forms in the sidebar.

During your first visit, please be prepared to spend 75-90 minutes for the initial consultation and treatment. Wearing comfortable and loose clothing is also recommended. You are free to bring in lab/imaging and any other information that you see important to your visits.

For your first visit, please identify if you want to use your health insurance and if it will cover the cost of treatment. You can simply call your insurance and inquire about your benefits. For your convenience please print and fill out the Insurance Verification Form if you intend to use your insurance.


New Patient forms:

Health History Form

Insurance Verification Form


Typical session:

In a regular acupuncture treatment we discuss your health history, your goals and concerns for your health, and create a suitable treatment approach. Treatment may include more then acupuncture, ranging form a collection of different services offered at the clinic plus any lifestyle or diet advice. Depending on the needs of the patient and performed services our follow up treatments range from 45-75 minutes.