Forms

You can conveniently print the documents and bring the completed document to the to the office. Another option is to download the documents and email or fax the documents to the office. Forms are available in PDF format. If neither is compatiable with your operation system, please email us your format preference. 

New Patient Form:

Insurance Verification:

(Only complete if you want to know your coverage. There is no charge for verification) 

You can also bypass the insurance form by emailing/ faxing or texting an image of insurance card and your driver's license. 

Before your appointment, you will need to sign our Patient Covid acknowledgment form. 

Patient Covid Acknowledgment form:

Text us your question to:

407. 780. 2645

Have a question... leave us a message

Insurance accepted*:

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#LotusAcu

@Lotus_Acu

Winter Park- 

200 N Denning Drive Ste7

Winter Park, FL 32789

Call/ Text: 407.780.2645

 

Fax: 321.250.5519

Email: Info@LotusAcu.com

 

Oviedo-

875 Clark St Ste B

Oviedo, FL 32765

Call/ Text: 407.456.3566

Fax: 321.250.5519

Email: Oviedo@LotusAcu.com

© 2014 by Lotus Acupuncture, Thoa Ho LLC