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Forms

Please print the following forms and have them filled out prior to your first appointment.  They may require 15-30 minutes to complete them thoroughly.  Some questions may seem unrelated to your current health challenges, but our bodies are complex landscapes and everything that happens to them leaves its mark.  In acupuncture, even subtle cues about your health provide meaningful information.
New Patient Intake Forms

Insurance Verification

If you would like to use your insurance, please provide me with the following information 48 hours prior to your first appointment.  This information can be entered directly into our secure patient portal using this link, ('Forms' tab, click to edit insurance information) or you can call our office 218-670-0599. 

  • name
  • date of birth
  • phone number
  • insurance company
  • subscriber/member policy number
  • group ID
  • provider services phone number (usually on the back of the card)
  • condition/s for which you are seeking treatment

For No Fault/Automobile Injury or Workers Compensation cases, I will also need the name and contact information for the claims adjuster or case manager.

Your First Visit

Please arrive for your acupuncture appointment having consumed a meal within the previous few hours. I will review your intake form, discuss your condition, your goals, and ask some clarifying questions.  I will examine your pulse and tongue, which are two of many basic diagnostic methods of this medicine.  You will lie comfortably on a massage table.  The acupuncture points I choose will depend on your condition, but you can expect about 20 needles.  Once the needles are inserted, I will leave you to rest comfortably for 15-25 minutes with the needles in place.  You will have a call button if needed, but it is not uncommon for patients to fall asleep during this time. 

What Does Acupuncture Feel Like?

Some first-time patients are jittery about needles.  Acupuncture needles are sterile, single-use, flexible, and hair-thin.  You will feel a slight sharp sensation with insertion, and then your body normalizes the presence of the needle such that you may have awareness of it, but no pain.  Stimulation of the needle may produce a sensation described as heavy, achy pressure, or spreading, traveling feeling.  Many people find acupuncture treatment deeply relaxing.

How Many Treatments Will I Need?

The benefits of acupuncture are cumulative, and we are working to reverse or heal a disease process, so more than one treatment is necessary. For acute conditions you can expect to have 5 to 15 treatments, but you will usually begin to feel relief after just the first few.  Chronic conditions may take longer to respond, depending on the type, severity, and duration of the condition.  We can work on several conditions at the same time, but will target your identified priority.  Many patients like to schedule preventative treatments or treatments for general well-being; these may be scheduled on an as-needed basis.

How Safe is Acupuncture?

Acupuncture is extremely safe and millions of Americans receive sessions every year.  But as with all things in life, there are some attendant risks, These are outlined in the Consent Form (page 7 of the intake forms).  Acupuncturists are required to undergo extensive education, including detailed study of human anatomy and training in Clean Needle Technique. I have passed comprehensive national board examinations administered by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) and am licensed by the Minnesota Medical Board. As required by law, I use pre-sterilized, disposable, single-use needles to ensure your complete safety.


Aitkin Acupuncture at Riverwood Healthcare Center
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