Below is some helpful information for new
patients to prepare for their first visit.
If you have any further questions, please
feel free to
New Patient Forms: For added
convenience, you can print out and complete
the new patient form packet at home before
visiting our office. This includes a
comprehensive Health History Questionnaire,
Consent to Treatment form, and information
about your Health Privacy (Hippa). Due to
the lengthiness of this packet, although
it's not required, bringing completed forms
with you will save time and help make your
first appointment fast and easy.
You will need an Adobe Acrobat Reader to
view and print the files. If you do not have
this program you can either download a free
version, or simply call our office and we
will gladly send or fax the forms to you.
Patient Form Packet
Office Policies: Kindly give 24 hours
notice if unable to keep your appointment,
otherwise a fee will be charged for your
reserved time. TOP
Preferred Method Cash or Check at time of
visit, also accept major credit cards. The
initial 90 minute visit fee is $160, and the
follow up treatments are $100. TOP
Insurance: Some health insurance
companies cover acupuncture treatment. You
should contact your health insurance company
to learn about their specific rules
regarding acupuncture coverage and
reimbursement. Although we do not accept
insurance directly, our office is happy to
provide you with a receipt which you can
submit to your carrier for reimbursement.
Acupuncture is covered under many Health
Savings Accounts (HSA) and Flexible Spending
Accounts (FSA). If you participate in either
one of these programs, you can use pre-tax
dollars for your treatments.
What to expect during your visit:
* Health History Review: For your
first visit we will meet for approximately
90 minutes. This gives us time to review
your health history and clarify your
treatment goals. We will discuss all of your
bodily systems and any other symptoms or
health concerns that you may have. Although
it may seem to be unrelated to your chief
area of concern, the information gathered
from your intake will help to determine the
most appropriate treatment plan for you.
* Physical Assessment: After
reviewing your health, you will receive a
full physical exam. I will listen to your
wrist pulses, assess the movement of the
meridians (energy channels that pass through
all of the major organs), as well as the
movement and balance of the craniosacral
system. What I observe what you report about
these areas informs your treatment plan.
* Treatment: After the intake and
physical examination, you will receive a
treatment that is specifically tailored to
you. This may include a combination of
acupuncture, craniosacral therapy,
* Completion and Treatment Schedule:
The treatment is finished after a final
physical assessment is performed to ensure
that your energy is moving in a more healthy
way and the body has come into balance.
After leaving the table, the patient and
practitioner will discuss an ideal treatment
schedule and set the next visit, usually 3
to 7 days following the initial visit.
Follow-up visits last approximately 1 hour.
Can Jacqui von Voss Holistic Health help
Characteristics of those who have benefited
most from our services: If many of these
characteristics fit you well, you are likely
to be someone we can help.
* You are no
longer willing to tolerate current pain,
illness or a sub optimal level of
well–being. You recognize that life is short
and quality of life is a paramount value.
* You are
open and seeking a change – you have tried
many things that haven’t fully met your
needs and realize that different results
require new approaches.
* You realize
that the highest quality of healthcare is
often not the cheapest or a covered
insurance benefit - you have decided it is
worth working and paying for.
* You are
determined and ready to make a commitment to
restore and maximize your health – you know
that health declines over time with injuries
and stress, and that true healing is a
process that requires time and energy.
* You are
willing to learn about your health and would
like to participate in your healing –you
realize that the optimization of your health
and life is a joint venture.
If you would
like further information, we are happy to
set up a free consultation to discuss your
schedule a visit
please call Jacqui von Voss Holistic Health
at 410-200-0678 or email