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Insurance
Verification 

New Clients:

Please complete the form below so that we can verify the details of your insurance. 

If you have any other questions or concerns, please use the space provided below.

You can also contact Dr. Fialk via email (preferred method & fastest response) or by phone (707-492-5356)

 

Looking forward to hearing from you!

Insurance Verification Form

Success! Message received.

Wellspring Integrative Health & Acupuncture

130 Petaluma Ave, Ste 2E

Sebastopol, CA

95472

Email:  DrFialk@HealthWellspring.org
Phone: (707) 492-5356
Fax:     (707) 492-5349

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