Forms & Payment Info
Most of our services are covered by insurance.
We accept Visa, Mastercard, Discover, debit cards, personal checks, traveler’s checks, and cash for payment.
Please note that payment is expected at the time of service unless a prior arrangement has been made.
To make sure that your specific insurance plan covers the service you are interested in, contact your insurance company by calling the member number on the back of your insurance card.
Classes offered in our movement studio are NOT covered by insurance.
We are pleased to provide the following downloadable forms and preparation packets online, to prepare you for your upcoming appointment.
- Acupuncture Packet
- Chiropractic Packet
- Massage Packet
- Naturopath Packet
- Counseling Packet
- Motor Vehicle Accident Intake Form
- Infertility Form
- Records Request Form – Hawthorne Wellness
- Records Release Form – Hawthorne Wellness
- Notice of Privacy Practices – Hosseinion Family Medicine
- Records Request Form – Hosseinion Family Medicine
- Consent for Treatment – Hosseinion Family Medicine
- Office and Billing Policies – Hosseinion Family Medicine