We are an OUT OF NETWORK Practice

Please fill out your information in the form provided or give us a call and we will verify your benefits for you within 24-48 hours. If you do have Acupuncture coverage, our staff will provide you with a Super Bill.  The patient is responsible for submitting the Super Bill to receive re-imbursment from your insurance company.  If you do not have acupuncture coverage, don't worry. We have payment options available to you! Call us at 201-652-1200 for more information.

*please make sure to fill out the form in its entirety so that we have everything we need to verify your benefits as quickly as possible.

"*" indicates required fields

MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.