<span style='color:blue'>Check Your Insurance</span>

We can bill all insurances. ShaareTzedek Acupuncture Physicians are licensed in the state of Florida to perform Chinese Medicine including acupuncture, herbs, diet therapies and a form of traditional manual therapy called Tui Na. As a result even if your insurance does not cover acupuncture it may still offer coverage for the office visi. Please fill out the form below and we will contact you after verifying your exact coverage.

IF YOU NEED HELP WITH THIS FORM PLEASE CALL US - 888-666-2844

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Your Name: *

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Address: *

City, State & Zip Code: *

Date of Birth: *

Sex: *

Chief Complaint *

Subscriber ID: *

Group ID: *

Insured's relationship to patient: *

Insured name and ID if different from patient:

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Type of Insurance *

Co-Pay for Specialists (if applicable):

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Insurance Company Phone Number (the one for providers): *

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