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*PLEASE KNOW this form is used to verify your details so we can find out what your benefits are. We will call you with our findings.*
Many insurance companies now pay for acupuncture treatments. Should your insurance company not cover this therapy, The Balance Health and Wellness Center is contracted with most insurance companies to provide a discounted rate. Enter your information below and we will gladly qualify your insurance for you. Be sure to include the best contact number should we need more information.
*NOTE you most complete each box below to submit the form correctly*
*NOTE you most complete each box below to submit the form correctly*
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