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, and checks 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           $135.00
Follow Up Appointments                         $85.00

Stand Alone Services

Cupping                                                 $ 60.00
Gua Sha                                                     60.00
Facial Gua Sha                                           85.00
Ear Seeds + Auricular Acupuncture           60.00
Ear Seed Session                                       40.00
Moxibustion for Breech Birth                     85.00

Susan is currently scheduling
new appointments on
Fridays, Saturdays, and some Sundays at Truly Yoga Studio.