top of page

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

  • Facebook Basic Black
  • Google+ Basic Black

© 2016 by Wellspring Natural Medicine. Proudly created with Wix.com

bottom of page