Please complete each section of this form to check PPO health insurance benefits. We’ll get back to you with the results within 1-2 business days. Please note, Dr. Lisa is out of network with all insurance plans with the exception of Blue Shield. HSA also accepted.

First and Last Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

Insurance Company Name

Member ID #

Group #

Insurance Company Phone Number for Providers

Dr. Lisa Upshaw- Holistic Acupuncture & Wellness

Dr. Lisa H. Upshaw is a holistic health practitioner and expert in connecting physical wellness with nutrition and emotional well being. She use natural healing methods and believes in living life to the fullest. Dr. Lisa shares how others can become their own best healer.

Quick Links

Initial Visit Forms