If you would like a receipt, there are a few different options:

  • If you're paying by credit or debit card, the machine can print out a receipt for you. (Hit "yes" at the top when prompted.)
  • If you need a simple receipt with date and amount, you can also take one and fill in that information from the receipt stand at the payment station.
  • If you need a more detailed receipt (for FSA, HSA, insurance or anything else), you can use this one if you need a diagnostic code, and this one if you don't.
    You can fill in all the details in terms of dates of service, price you paid (I don't keep a record of how much each person pays each time), diagnosis if they need it (they usually don't), and the date at the bottom. I've never had a patient's form refused because I didn't sign it, but if they deny you, just bring it in and I'll do so.
    The diagnosis code (ICD) can be found by googling ICD and the symptom you came in for. The treatment (CPT) code for an acupuncture session is 97810.

    Let me know if you have any questions.

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