Patient Forms

 

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Please take a minute to read this Welcome Letter, it contains important information that we want you  to know about getting treatments at  Providence Community Acupuncture. 

We Have a Sliding Scale

$15-$35 per treatment. There is a $10 fee for the first visit only.

No income verification; Pay what you can afford.

If you have insurance, we’re happy to give you a receipt to submit, or print one for yourself via the scheduler.  We do not bill insurance.

We treat in a Community SettingIMG_2353

People are treated in the same room.

There is no disrobing, so wear loose comfortable clothes.

The collective energy of being treated in a group enhances your treatment.

Families and friends can come together.

Stay as long as you like; or let us know if there is a specific time you need to be up by.

Our Treatments

We use mostly distal points on the arms and legs to treat most everything.  We don’t have to stick needles where the problem is to get results.  Really!

Our affordable fees mean that most people can actually get enough treatments to get better and stay better.

We are licensed acupuncturists, using sterile disposable needles.

Our Mission

Our mission is to provide quality affordable acupuncture.  Our clinic is peaceful and friendly place that welcomes all people.  We strive to empower our patients, workers, and volunteers with a healthcare model that requires responsibility, participation, and community building.

WHAT WE NEED FROM YOU:

Responsibility

We are licensed acupuncturists and do not provide primary care or diagnose medical conditions, though we often provide complimentary care for conditions that require a physician’s attention. If you have a serious medical condition, for example, an infection, growth or injury that won’t heal, you need to see a primary care doctor (MD, DO, ND.)

Please call or leave us a message 24 hours before your appointment if you need to cancel or we will ask you to pay a  $15 missed appointment fee.

When you go back for treatment get yourself ready by choosing a recliner, removing shoes and socks, pushing up your sleeves and pants and settling in before the acupuncturist arrives.

Feel free to bring ear plugs, ear phones if that will help  you to rest better in our treatment rooms.

Community Mindedness

We all create our quiet peaceful setting by speaking softly, and not too much.

Please turn off your cell phones.

Strong scents, perfumes, aftershave, body care/hair products, and detergents can trigger allergic reactions and headaches for other.  Please try to minimize the use of these before you come to the clinic.

Wear shoes when you walk around the clinic.

Commitment to the process of healing

Acupuncture is a process. Every now and then, acupuncture will act like a “miracle cure”, and a person will have all of their symptoms disappear after only one treatment – but that is a rare event. Acupuncture works by stimulating the body’s own self-healing mechanisms; it is gentle and safe and usually gradual. Almost everybody who gets acupuncture will need a series of treatments to get good results, which is one big reason we came up with our sliding scale. If you don’t come in often enough or long enough, acupuncture probably won’t work well for you.

Your acupuncturist will suggest a treatment plan to you, meaning, how many treatments we think you will need to get good results; please let us know if you have any questions about your treatment plan, and please stick with it to the best of your ability.

PLEASE HELP SPREAD THE WORD!

Let other’s know about your experiences and successes with us

We are able to keep our prices low in part because of the extraordinary amount of marketing that our patients do on our behalf.  We are grateful for this.

We are a community based business and do not receive any grants or funding from sources other than our patients.  We need your help to get the word out about the benefits of acupuncture, and that it is affordable.  When we first opened in 2007, we saw about 40 patients per week and were open part-time over 4 days. Nowadays we see close 400 people per week and we’re open 7 days, and over 60 hours weekly!

 

Want to learn more about community acupuncture?

PCA is part of the Peoples Organization of Community Acupuncture (POCA), a nationwide movement of clinics like this one, working to build affordable acupuncture centers all over the country.

We have some books for sale:  Fractal, Acupuncture is Like Noodles, and Why Did You Put that Needle There?  The proceeds from the sale of  books goes back to POCA .

JOIN POCA: a multi-stakeholder cooperative made up of patients, punks, staff, clinics and allied organizations! Join at www.pocacoop.com/join

Check out the POCA Locate a Clinic map here or online: www.pocacoop.com/clinics

DOWNLOAD PATIENT FORMS  HERE

3 responses to “Patient Forms

  1. I am trying to cancel an appointment on 5/4/16 at 9:30 a.m. I have rescheduled for Thursday at 10:10 a.m. Thank you Stephen Robinson

Comments posted here appear on our website. Please call 401-272-2288 if you need to make a scheduling change. We do not schedule or cancel appointments via this comment section. Thanks!

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