Insurance/Policies & Forms

Inland Empire Acupuncture & Herbs, Inc. is an in-network provider for many healthcare plans.  We can also provide out-of-network services under some healthcare plans. 

Please call us at 951-444-8340 so we can check eligibility under your specific plan. 
When you call, please be prepared to provide the following information so we can check eligibility promptly for you:

  • Full Patient Name
  • Patient Date of Birth
  • Full Name of Insured (if different)
  • Relationship of Insured to Patient (if applicable)
  • Address
  • Phone and Email
  • Name of Health Insurance Plan
  • Health Insurance ID Number and Group Number
  • How Did You Hear About Us?

Please print and complete these forms for your first appointment.  If you don’t have a printer, that’s fine. We have these forms in the office too.

Download Patient Intake Form (PDF)

Cancellation Policy
Every available appointment time is a valuable opportunity for a patient to relieve pain, alleviate suffering, and commence or continue healing.  Please be considerate of this and cancel appointments that you will not be able to make at least one business day in advance.



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