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904-448-0046

Download Our Forms

We value your time. In an effort to save time during your initial evaluation and treatment appointment, please print, complete and bring the proper forms with you on your first appointment.

Thank you,
HPJAX

Step 1

Download and complete the intake forms and bring it with you to your first appointment.

Acupuncture Intake Form Fertility Intake Form Pediatric Intake Form

Step 2

If you plan to submit your treatment to your insurance company (we bill directly for you), please complete and submit the insurance verification form below before your first appointment.

Insurance Verification Form

Personal Information

Insurance Information

Insurance Type

Illness you are seeking treatment for

Location

3840 Belfort Road #305
Jacksonville, FL, 32216

Phone

(904) 448-0046

Hours

Mon 9:00 AM - 6:00 PM
Tue 9:00 AM - 2:00 PM
Wed 9:00 AM - 6:00 PM
Thu 9:00 AM - 6:00 PM
Fri 9:00 AM - 2:00 PM
Sat 10:00 AM - 2:00 PM

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Medical Disclaimer

The information found on this website is fully intended for informational and educational purposes not intended to diagnose or substitute medical attention. Any information presented herein, or information received via telephone or email, should not be construed as the practice of medicine. As a licensed acupuncture physician, Julee Miller, fully recognizes your ultimate health care lies with your general practitioner of health. The medical circumstances of each patient differ, and diagnosis and treatment are offered only after appropriate medical evaluation and completion of applicable testing. Treatment outcomes, of course, are never guaranteed. Individual response from therapy outcomes may vary from those referenced in case discussions and patient testimonials.

Disclaimer of Warranty

This website neither guarantees results, nor makes promise of any cure or result. This website further makes no implied or expressed representations regarding the accuracy, completeness, timeliness, comparative or controversial in nature, or usefulness of any information contained or referenced in this website and does not assume liability whatsoever for your use of this website or the information contained herein. The products, information, services and other content provided on and through this site, including without limitation any products, information, services and other content provided on any Linked Site, are provided for informational purposes only to facilitate discussions with a healthcare professional regarding treatment. The information on this website is often provided in summary or aggregate form, and may not be construed as medical advice or instruction

Useage Content

Information related to natural health changes frequently, therefore information contained on this website may be outdated, incomplete or even incorrect. Furthermore the products in this website may not have been evaluated by the Food and Drug Administration. Health Pointe Jacksonville, LLC, recommends that you consult with your primary care professional prior to taking any nutritional supplements or discontinuing/changing your use of any medications. For any suspected or known illness or health concern, always consult with a physician or healthcare provider prior to the purchase or use of any health-related product. The products offered by Health Pointe Jacksonville Acupuncture are not offered as a treatment or cure for any medical conditions, but only as nutritional support for various health concerns.


Health Pointe Jacksonville is not responsible for the misuse and/or abuse of any product sold as a result of a consumer using this website, nor is Health Pointe Jacksonville responsible for any problems or difficulties which may arise though consumer use of products sold by Health Pointe Jacksonville.