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Insurance
Submission Form

Let’s Get Started!

CorPoints Acupuncture & Wellness takes most major insurance policies. Please complete the secure form below, and allow us 2–3 days to process your insurance before your initial appointment.

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CorPoints Acupuncture & Wellness Insurance Form

Please fill out the following form in order to participate in our therapy. When completed, click the SUBMIT button.

Date of Birth:
Month
Day
Year
Type of Insurance (select one):
Are You the Primary on Insurance?:
YES
NO (If not, list Primary Name & DOB below)

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Step 4

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Are You Ready to Change Your Life?

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