5 Seasons Acupuncture & Yoga Susan Guerino, L.Ac., Dipl. Ac., RYT-200

New Patient Forms

You may download the forms and bring with you to your appointment.
The forms are also available when you arrive but may take a few minutes to fill out.

INTAKE FORM

CONSENT AND HIPPA

 

Payment

Payment is expected at time of service. 
Credit cards, flexible spending cards, cash, Zelle, Venmo are accepted.  An itemized receipt with will be provided at every visit that you may use to submit reimbursement from your insurance company.

Initial Acupuncture Appointment           $145.00
Follow Up Appointments                         $90.00

Stand Alone Services (for existing customers who do not want acupuncture at time of service

Cupping or Gua Sha                                $70.00
Ear Seeds/Auricular Acupuncture            $70.00
Moxibustion for Breech Birth                    $90.00

 

By appointment only.

Please contact Susan to schedule your appointment.

Appointments located at Truly Yoga Studio.