Copyright © 2012 TaiHE Healing + Health LLC.  All Rights Reserved.

INITIAL CONSULTATION

Thank You for scheduling an appointment with Diana Hester for acupuncture and Chinese medical treatment.  A 20-minute initial consultation is complimentary as our welcome to your possibilities of healing and perfect health.


PRIOR TO YOUR VISIT

_ Please download and complete the 5 forms to the right, and bring them to your first appointment.

_ Please do not come to your appointment with an empty stomach.

_ Please abstain from vigorous exercise, overexertion, drugs or alcohol on day of treatment.

_ Please wear comfortable and loose clothing.

_ Please bring a list of medications (western and/or oriental) you are currently taking.

_ Please be prepared to discuss your medical history and current medical conditions


PAYMENT

Payment is due at the time of service.  We gladly accept cash, checks, Visa/Master/AMEX/Discovery credit and debit cards.


INSURANCE

Please contact your insurance company prior to your appointment (links to the right) to learn the extent to which your treatment will be covered, including required co-pays and deductibles.  Please be sure to bring your current insurance ID card to your appointment.


COMMUNITY ACUPUNCTURE / CASH PLANS

TaiHE is proud to offer discounted cash plans for non-insurance patients.  We also offer a special Community Acupuncture Program for low-income families and those with financial hardships.  Please call or email us to inquire.  We will have something that is right for you.


CANCELLATION POLICY

Diana spends a great deal of time with each patient.  If you were to miss your appointment, that block of time remains unfilled and leaves Diana uncompensated.  Please kindly cancel or re-schedule your appointment with a minimum 24-hour notice to avoid a $65 no-show fee.  This fee is your responsibility and will not be billed to your insurance company.  Thanks.

BYZOLU

HEALTH HISTORY + PATIENT INFOpatients_files/2012_health_history.pdf
INFORMED CONSENT TO TREATMENTpatients_files/2012_consent.pdf
PRIVACY STATEMENTpatients_files/2012_privacy.pdf

patients

410 Bellevue Way SE, SUITE 202 | BELLEVUE | WA 98004 | 425 614 9996

NOTIFICATION OF QUALIFICATION (NEW)patients_files/2012_qualifications.pdf
YOUR RIGHTS (UPDATED)patients_files/2012_rights.pdf
STATEMENT OF NO INJURIES (NEW)patients_files/2012_noinjuries.pdf
FINANCIAL AGREEMENT + INSURANCE  (UPDATED)patients_files/2012_financial.pdf