forms & fees

Forms

These forms are available on the patient portal. For those not using on-line booking or the patient portal, please download and fill out the following forms:

New Patient Intake

New Pediatric Patient Intake

Colorado Disclosure

Consent to Treat Form

Fee Schedule

Initial Acupuncture treatment OR Ayurvedic consultation (90 min)     $130
(includes complete health history and treatment or consultation)

Follow up acupuncture treatment OR Ayurvedic consultation (45-50 min)     $80

Acupuncture & Ayurveda Combo (2-2.5 hrs)     $200

(includes complete health history, acupuncture treatment and Ayurveda consultation)

Follow Acupuncture & Ayurveda Combo (1.5 hrs)   $150

Add-on Yoga Therapy/Yoga Private (45-50 min)    $80

Phone/Skype consultation (90 min)     $130

NOTE: For phone or Skype consultations intake & waiver forms, photos and payment are required before scheduling.

PEDIATRIC PATIENTS

Initial visit + treatment/consultation (50 min)     $80

Follow up visit (30-40 min)     $60

 

PATH TO WELLNESS  PACKAGES

When treating the whole body in a natural way and striving to address the root causes of imbalances, it is best to commit to several months of regular appointments. This allows time for your body to integrate and heal and adapt to the changes recommended specifically for you. Packages also provide momentum and support to continue on your path to wellness and achieve the health you desire. Email support during business hours is available to all patients in between appointments.

Two-Month Wellness Package

Includes:

  • Initial Appointment
    1. One-time Health Intake
    2. Ayurveda constitutional assessment (dosha-s: Vata, Pitta, and Kapha)
    3. Personalized unique Ayurvedic wellness plan (includes dietary and lifestyle recommendations)
    4. Acupuncture (with cupping and/or moxibustion, if indicated and desired)
    5. Herbal Therapy
  • 3 follow-up appointments (ideally every other week)
    1. Acupuncture treatments
    2. Ayurveda dietary/lifestyle adjustments
    3. Herbal adjustments

Four-Month Wellness Package

Includes:

  • Initial appointment
    1. One-time Health Intake
    2. Ayurveda constitutional assessment (dosha-s: Vata, Pitta, and Kapha)
    3. Personalized unique Ayurvedic wellness plan (includes dietary and lifestyle recommendations)
    4. Acupuncture (with cupping or moxibustion, if indicated and desired)
    5. Herbal Therapy
  • 7 follow-up appointments (ideally every other week)
    1. Acupuncture treatments
    2. Ayurveda dietary/lifestyle adjustments
    3. Herbal adjustments
  • Sample menus for meals, snacks and beverages for one week with recipes for your unique constitution and health concerns
  • Customized yoga practice/therapy with instructions to follow at home. This includes yoga postures, breathing techniques, and meditation.

 

Six-Month Wellness Package

Includes:

  • Initial appointment
    • One-time Health Intake
    • Ayurveda constitutional assessment (dosha-s: Vata, Pitta, and Kapha)
    • Personalized unique Ayurvedic wellness plan (includes dietary and lifestyle recommendations)
    • Acupuncture (with cupping or moxibustion, if indicated and desired)
    • Herbal Therapy
  • 11 follow-up appointments (ideally every other week)
    • Acupuncture treatments
    • Ayurveda dietary/lifestyle adjustments
    • Herbal adjustments
  • 3 additional personalized yoga practice/therapy sessions
  • Custom-made supplement plan
  • Essential oil therapy during treatments

Contact us for more information and pricing for packages. We look forward to working with you!