Before your first visit, you can save time by printing and filling out the appropriate forms.

NATUROPATHIC MEDICINE – NICOLA DEHLINGER, ND

Disclosure Statement

Authorization for Credit Card

Authorization to Share Information

**FOR FEES PLEASE REFER TO FINANCIAL POLICY**

Dr. Nicola does not currently accept insurance; however, she can provide a coded super bill at time of service. Reimbursement depends on your insurance policy.

She also offers payment plans and discounts for the following: Medicare, Medicaid, Veterans, Family and Corporate Packages. Please inquire for more details.

ACUPUNCTURE AND CHINESE MEDICINE – RIKKI GENSHEER L.AC.FACUPUNCTURE

FEES

Intake Consultation and Treatment, 2 hours – $150

Follow-up Treatment Established Patient, 60 minutes – $85

Follow-up Treatment Established Patient Age 15 and under, 1 hour – $50

Herb Consult – $50

Cost of Herbs – $30 – $45

Therapy & Yoga – Shelley Nielsen, LCSW & RYT200

FORMS

Massage Therapy – Wendolyn Omaña

FEES

1.5 hr Massage – $125

1 hr Massage – $90

30 min Massage- $50

Health & Wellness Specialist – Jennifer Peeso, BS, MS

FEES

Initial Visit – $150

Follow-up Visit – $90

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