This form can be printed on your printer and filled out before your first appointment to save time.  Please bring this with you to your appointment.  Do not e-mail.  
                    Thank you.
Press button to Download Form 
in PDF format below.

G. Andreozzi

Treatment Tips
* It is good to have something to eat about an hour before your treatment.  
* Wear comfortable clothes that allow access to areas below the elbows and knees.
* We ask that you please refrain from wearing any perfumes, scented lotions or oils to your appointment.
* Please turn your cell phones off or silent when entering the treatment room.  
* If possible, set aside time after your treatment to rest.

Payment Policies
* Payments are due at the time of service. We currently accept cash, check or credit/debit/health savings cards.  
* Cancellations: Kindly give 24 hour notice if you are unable to make your appointment.  
There will be a fee of $60 for missed (no show) appointments or same day cancellations.  I respect your time.  Please be respectful of mine as well.  Thank you.

                   * For your privacy, please do not e-mail or
                         text your personal health information.   

Sunflower Community Acupuncture


for appointments;  call 720.684.8865
or email using the link below.

G. Andreozzi

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