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Shen Nong Herbs & Acupuncture
Dr. Heather Richmond, DAOM, L.Ac.

New Patient Forms

Welcome! Prior to your first appointment, please log in to the Patient Portal below and create a new account. Then complete the following four forms online prior to your visit. You can also schedule online, or call (303) 444-4790.
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1. Disclosure and Consent to Treatment Form
2. HIPAA Form
3. New Patient Form
4. ​Office Financial Policy and Authorization to Bill Insurance
Acusimple Online Patient Portal and Practice Management Software for Acupuncturists

Dr. Heather Richmond | (303) 444-4790  | 908 Main Street, Suite B104, Louisville, CO 80027 ​​
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Copyright © 2015
  • Home
  • Our Clinic
  • New Patient
  • Existing Patient
  • Veterans
  • COVID/Vax Treatment
  • About
    • Shen Nong
  • Contact
    • Fees
    • Insurance
  • FAQs