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Balducci Wellness
Patient Information


1. Please fill out the form before the day of your visit. Everyone must fill out either the “Herbal Consult” or “Health History” forms.

2. If you would like to use health insurance to help pay for the visit please email a front and back copy of your insurance card to


I kindly ask that you are prepared to answer the following questions:

a. Do you have acupuncture benefits and how many visits per year are covered?

b. Do you have a deductible and has it been met?

c. What is your copay amount?

3. On the day of your visit:

a. Make sure you have eaten before your treatment.

b. Wear loose and comfortable clothing so that elbows and knees are easily accessible.


Safety Information

1. We kindly ask if you have any viral symptoms such as headache, sore throat, cough, nausea or nasal congestion to stay home and reschedule your appointment.


2. A HEPA air purifier is running at all times in the treatment room.

3. All surfaces are cleaned and sheets changed between each patient.

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