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Insurance Information Collection Form

 At present, we are only able to accept BCBS(Blue Cross Blue Shield) insurance.

We will contact your insurance provider within 48 business hours of receiving your application to verify coverage for your acupuncture services. Upon confirmation, we will promptly reach out to schedule your earliest available appointment.

Please upload clear photo of your insurance card

Contact Me

Mail: alexqiu.tcm@gmail.com

Tel: 602-753-6789

​微信:qxy19870603

Thanks for submitting!

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