INTAKE FORMS

Disclosure & Consent - Naturopathic, Acupuncture

Demographics Form

Adult Health Intake Form

Gynecologic Intake Form (women only)

Pediatric Health Intake Form

FEES AND POLICIES

Since Illinois does not have a scope of practice for naturopathic medicine (See Licensing), we cannot accept insurance as a form of payment. We can provide you with a receipt, upon request, that may be accepted by insurance plans that have a FSA or HSA plan associated with the plan. Visit fees are due at the time of service.

NATUROPATHIC MEDICINE

  • Initial (New Client) 90 minute Visit: $200
  • Follow Up Visits (Established Clients):
    • 15 minute: $40
    • 30 minute: $60
    • 45 minute: $80
    • 60 minute: $100
  • Laboratory testing:
    • Standard blood testing via UltaLabTests.com
    • Specialty testing: varies per the test. Insurance may also be an option, depending on the test

Stacie Han accepts insured ACUPUNCTURE patients only. We will file an insurance claim on the patient’s behalf. Not all insurance companies cover visits for acupuncturists or impose restrictions such as a referral. Being insured is not a guarantee of coverage. Patients are encouraged to check for benefits with their insurance company. Stacie Han is a network provider with the following insurance companies:

  • Cigna Health
  • Aetna

Co-payments are due at time of service.

ACUPUNCTURE (out of pocket rates)

  • Initial (New Patient) 75 minute Visit: $100
  • Follow Up Visits 60 minute (Established Patients): $80

Acupuncture packages available for return acupuncture visits only (does not include initial visit). Purchase 5 visits in advance for $350 ($70/visit) OR 10 visits in advance for $600 ($60/visit). No expiration, non-transferable.

Note that all testing and consultation is done to assist in creating a plan to increase wellness. No medical diagnosis is made. Please seek care from an Illinois licensed physician for a medical diagnosis. See Licensing for more information.