Forms & FAQs

Download New Patient Health History forms here.

Print them, fill them out at your convenience,
and bring them to your New Patient appointment.

What can I expect as a new patient?

As a new patient, you will spend up to 90 minutes with Dr. Dawn Potter-Balusik. She will personally review your health history, as well as your current health concerns. In addition to the detailed health questionnaire found at the above link, you will also be asked questions verbally.

Though some questions may not seem relevant to your main health concern, each answer helps to paint a picture of your overall pattern of imbalance, which is essential to determining your Oriental medical diagnosis and treatment strategy.

acupuncture fee for treatment

Fees & Policies

Free Phone Consultation:

15 mins, Free
If you have questions you would like addressed before scheduling your New Patient Appointment, Dawn Balusik will be glad to speak with you over the phone for 15 minutes.

New Patient Appointment:

60 – 90 mins, $150 – $175
Includes a medical history review, Oriental medical diagnosis, nutritional recommendations, herbal medicine selection, acupuncture treatment, and may include up to 15 minutes of a manual therapy such as massage, cupping, cold laser, gua sha or electro-stim. Also, if indicarted, the demonstration of exercises or stretches to be done at home, self-care ideas, and the ordering of any appropriate functional medicine tests.