EDUCATION AND EXPERIENCE:

Anne Cusick L.AC earned her Master of Acupuncture and Oriental Medicine degree from the AOMA Graduate School of Integratice Medicine, April 2008. 
This four-year program consists of 3200 hours of education including 875
hours of clinical practice. She was certified as a Diplomate in Acupuncture and Traditional Chinese Medicine by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) in October 2008. This includes certification in Clean
Needle Technique and Chinese Herbology.

Prior to earning her Master degree in the United States, Anne Cusick L.Ac Graduated from TExas Christian University with a B.A. in Business Finance in 2003.

Anne Cusick L.Ac has practiced acupuncture and Herbal Medicine since getting her texas livensurei n October of 2008 until current with a  Colorado Acupuncture License. 
Anne Cusick’s  training includes adjunctive therapies such as moxibustion, tui na, acupressure, cupping, auriculotherapy, medical herbology, dietary and lifestyle recommendations.
She is a registered and licensed acupuncturist in Colorado. None of these licenses, certificates, or registrations has ever been suspended or revoked.

This clinic complies with the rules and regulations promulgated by the Colorado Department of Health, including the proper cleaning and sterilization of needles and the sanitation of acupuncture offices. Only single-use, disposable, factory-sterilized needles are utilized.

FEE SCHEDULE:
New Patient Acupuncture Adult (90 min)..........................$125 (Comes with Herbal Consultation) 
Established Acupuncture Patient (75 min) .........................$95
New Patient Herbal Consultation (45 min). .........................$89
Established Herbal Consultation (30 min)..........................$55
New Patient Telehealth Consultation (60 min). ...................$89
Established Patient Telehealth Consultation (30 min)..........$55
Established Senior (75 min).....................$85 (age 65+)
Established Student (75 min)...................................$85
New Child Appointment (75 min). .............................$85
Established Child (60 min)..........$65 (Infant to Age 12)

• Payment due at time of service. Thank you!
• All prices include any additional modalities (moxibustion, massage, ear acupuncture, cupping, electro-stimulation)
• Please make every effort to notify me as far in advance as possible if you are unable to keep an appointment.

A 24 hour advanced notice is required to avoid being charged the current fee for any missed or cancelled appointment.
* $39 Cancellation fee for appointment cancelled 12-36 hours prior to appointment. 
* $85 Cancellation fee for appointments cancelled within 12 hours of appointment time or for no call/no shows for appointment times. 
* Management can waive fees when approved for emergency purposes. 
*At any time within the first three appointments, Anne Cusick L.Ac or the patient (who can  terminate therapy at any time regardless) can deem the treatments not working for any reason without explanation and terminate the treatment relationship. 
* Patient loses the right to reschedule after three cancelled appointments or if the patient no calls/ no shows ( does not call to cancel a set appointment and does not show up for an appointment) by the patient unless allowed by managment and all cancellation fees are fully paid by patient. 

PATIENT’S RIGHTS:

• The patient is entitled to receive information about the methods of therapy, the techniques used, and the duration of therapy, if known.
• The patient may seek a second opinion from another healthcare professional or may terminate therapy at any time.
• In a professional relationship, sexual intimacy is never appropriate and should be reported to the Director of the Division of Registrations in the Department of Regulatory Agencies.

The practice of acupuncture is regulated by the Director of Registrations, Colorado Department of Regulatory Agencies. If you have comments, questions, or complaints, contact the Acupuncturists Registration Office, 1560 Broadway, Suite 1350, Denver, Colorado 80202. Telephone (303) 894-2440.

I have read and understand this document.

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Patient’s or Guardian’s Signature                                                             Date

930 San Sophia Dr • Montrose, CO 81403 • (512)55406642• [email protected] • www.cusickacupuncture.com