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NEW PATIENT FORMS TO DOWNLOAD AND PRINT
(in Adobe PDF Format):
For new patient paperwork click here
For motor vehicle accident paperwork click here
MISSED APPOINTMENT POLICY
I understand that sometimes you need to cancel or reschedule your appointments, and there are emergencies. If you are unable to keep your appointment, please notify me as soon as possible. Our answering machine is on 24 hours a day. Because I do not double-book appointments, when you break your appointment, I am not able to fill the empty spot (unless at least 48-hour notice is given).
Fees for missed appointments: There is a full visit fee for missed appointments. A 48-hour notice is required.
BUY A GIFT CERTIFICATE!
INSURANCE PLAN INFORMATION:
Following is a list of eligible health plans and employer groups. Please contact our office to have your insurance eligibility verified by emailing norah@kayfields.com or calling 503.295.7600:
1) AETNA NATURAL PRODUCTS AND SERVICES
2) ALLIANCE HEALTHCARD (NATIONAL)
3) ANTHEM BLUE CROSS BLUE SHIELD (CO, NV)
4) ANTHEM BLUE CROSS BLUE SHIELD (IN, KY, OH)
5) ANTHEM BLUE CROSS BLUE SHIELD (CT, ME, NH)
6) ANTHEM SOUTHEAST (DC, MD, VA)
7) BLUE CROSS AND BLUE SHIELD NORTHERN PLAINS ALLIANCE (IA, MN, MT, NE, ND, SD, WY)
8) BLUE CROSS BLUE SHIELD OF GEORGIA
9) BLUE CROSS BLUE SHIELD OF KANSAS CITY (KS, MO)
10) BLUE CROSS BLUE SHIELD OF MINNESOTA
11) BLUE CROSS BLUE SHIELD OF MISSOURI
12) BLUE CROSS BLUE SHIELD OF OREGON
13) BLUE CROSS OF WISCONSIN
14) BLUE CROSS OF CALIFORNIA
15) BLUE CROSS OF IDAHO
16) BLUE SHIELD OF CALIFORNIA
17) CAREINGTON INTERNATIONAL
18) CIGNA HEALTH CORPORATION (NATIONAL)
19) CONVENTRY HEALTH CARE OF KANSAS
20) EMPIRE HEALTHCHOICE, INC. d/b/a EMPIRE BLUECROSS BLUESHIELD (CT, MA, NJ, NY, PA, VT)
21) ENCORE (PPO) (IL, IN, KY, MI, OH)
22) FALLON COMMUNITY HEALTH PLAN (MA)
23) GEISINGER HEALTH PLAN (PA)
24) GROUP HEALTH, INC. (NY) 25) GROUP HEALTH PLAN (A COVENTRY HEALTH CARE PLAN) (IL, MO)
26) HEALTH NET HEALTH PLAN OF OREGON, INC.
27) HEALTH NET LIFE, INC. (WA)
28) HEALTHLINK (AR, IL, KY, MO, OH, TX)
29) HEALTYROADS COLLECTION (NATIONAL)
30) HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY (NJ, NY, PA)
31) INDEPENDENCE BLUE CROSS (DE, NJ, OH, PA)
32) KAISER PERMENENTE COLORADO
33) KAISER PERMANENTE HAWAII
34) KAISER PERMANENTE MID-ATLANTIC (DC, MD, VA)
35) KAISER PERMANENTE OF GEORGIA
36) KAISER PERMANENTE OF NORTHERN AND SOUTHERN CALIFORNIA
37) KAISER PERMANENTE OF OHIO
38) LIFEWISE OF OREGON
39) LOVELACE HEALTH PLAN (NM)
40) M-PLAN (HMO) (IN)
41) MMSI (AZ) 42) ODS HEALTH PLAN
43) OPTIMA HEALTH (VA)
44) PROVIDENCE HEALTH PLAN (OR, WA)
45) PUGET SOUND HEALTH PARTNERS (WA)
46) ROCKY MOUNTAIN HEALTH PLAN (CO)
47) SCHOOL DISTRICT NO. 1 HEALTH AND WELFARE
48) SEKURE HEALTHCARE
49) SELECT HEALTH (UT)
50) SHARP HEALTH CARE (CA)
51) SOUTHERN HEALTH SERVICES (VA)
52) TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. (MA, NH, RI)
53) UNICARE (NATIONAL)
54) WELLMARK BLUE CROSS AND BLUE SHIELD (IA, SD)
55) WELLPATH SELECT, INC. (a Coventry Health Care Plan) (NC, SC)
If you have insurance, please email norah@kayfields.com the following information before your appointment date:
Full Name
Date of Birth
Policy ID #
Insurance Name and Phone Number
We will verify if your insurance policy covers acupuncture. Thank you!
Schedule an Appointment Below:
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Purchase a block of 50-minute follow-up visits
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