Southwest Austin and Blanco Acupuncture

Rates & Intake Form

Initial Treatment and Consultation: $100

Follow up Treatments (60 minutes): $80

Package deals are available.

Children’s Initial Treatment and Consultation (60 minutes): $60

Follow up Treatments (30 minutes): $40

Herbal Consultation: $40

Your First Appointment.

  • Please fill out the intake form before your appointment so that you can get the most out of your 90-minute appointment. Waiting to fill out the paperwork during the appointment takes away from your session.
  • Wear loose and comfortable clothing. Sleeves should be able to be pulled above elbows. Pants should be able to be pulled above the knees.
  • Bring your medications with you or fill out the section dedicated to medications accurately.
  • 24 hour cancellation notice. Last minute cancellations will be charged a $25 cancellation fee.

MEDICAL INTAKE FORM (pacot med history)

Your Name (required)

Your Email (required)

Subject

Your Message

X