Appointment Forms

 

Thank you for scheduling your appointment with us! Please use the link below to download the forms you may need for your appointment.
 

 

INTAKE FORM

Please complete prior to your first acupuncture or flower essence therapy appointment with Oceans & Rivers

PEDIATRIC INTAKE FORM

To be completed by parents/guardians of patients under the age of 15.

INSURANCE VERIFICATION

We are Out-of Network providers with Aetna, Blue Cross Blue Shield, Cigna, and United Healthcare.   Please allow 2-3 days for insurance verification.

FLOWER ESSENCE CHART

Use this chart to keep track of your progress while using flower essences.

COLLABORATIVE CARE

We believe our patients receive the best results and care when there is transparency, communication and collaboration amongst the providers who are invested in your well-being. This form allows us to be in communication with your healthcare providers.