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 (90 min)     $120
(includes complete health history and treatment)

Follow up acupuncture treatment (50-60 min)     $80

Initial Ayurvedic consultation (90 min)     $120
(includes complete health history and consultation)

Follow up Ayurvedic consultation (50-60 min)     $80

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

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

Follow Acupuncture & Ayurveda Combo (1.5-2 hrs)   $150

Add-on Yoga Therapy/Yoga Private (1 hr)    $80

Phone/Skype consultation (90 min)     $120

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

PEDIATRIC PATIENTS

Initial visit + treatment/consultation (60 min)     $80

Follow up visit (30-40 min)     $60

PACKAGES

Most health concerns benefit from regular treatments. Packages ensure the success of your program and offer discounts on services.

Purchase 5 treatments and receive 5% off total price.

Purchase 10 treatments and receive 10% off total price.