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    • About
    • Men's Wellness
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  • Home
  • About
  • Men's Wellness
  • Services
  • Contact
  • Policies & Forms

Acumen Integrative Medicine

Dr. Bruce Gustafson, DAOM, LAc.

Acumen Integrative Medicine Dr. Bruce Gustafson, DAOM, LAc.Acumen Integrative Medicine Dr. Bruce Gustafson, DAOM, LAc.Acumen Integrative Medicine Dr. Bruce Gustafson, DAOM, LAc.

Privacy policies, Insurance, Medical & intake forms

Our Privacy Policy

Acumen Integrative Medicine actively practices privacy protection of your health information and adheres to HIPAA regulations (the Health Insurance and Portability and Accountability Act).

Your rights under HIPAA

  • You have the right to request your medical records whenever you like, with reasonable advance notice.
  • You have the right to request amending your medical records, when legally and ethically appropriate.
  • You have the right to limit who has access to your personal health information.
  • You have to right to choose how healthcare providers communicate with you and with each other.
  • You may file a complaint about any actual  unauthorized disclosure of your PHI (protected health information).

Health Insurance

Acupuncture services are often covered under private or group health insurance plans, but not all symptoms or conditions that might benefit from treatment are covered. Please verify with your individual policy to determine if these services and/or conditions are covered. Currently, we are NOT an in-network provider with any health insurance plans, but we can easily provide you with an insurance "Superbill" that you can then submit to your insurance for potential reimbursement of our services.

Medical Forms/History Forms in Advance of Your First Visit

Please click on the links below to access and download our required pre-treatment, medical and history forms. You can bring these forms filled out to our first meeting, or upload these to this electronic link:


Payment

Payment for services can be made using any of the following methods: cash, check, credit or debit card, Zelle, PayPal or Venmo. If an insurance superbill is provided to you, payment is still due at the time treatment services are provided.

Informed Consent for Treatment

Authorization Forms

Medical History and Other Forms

Medical History, Various Symptom Assessment Forms

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Copyright © 2025 Acumen Integrative Medicine - All Rights Reserved.

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