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Holistic Healthcare Services, Inc.

Specializing in Pain and Addiction Medicine

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Paperwork

Oriental Medicine is a system of medicine that addresses the needs of the patient as a whole, not just the condition they are experiencing.  In order to successfully evaluate your condition and develop a treatment plan, Oriental Medicine requires an extensive review of your health history and current lifestyle.

Prior to scheduling your appointments, you will be sent a link to our digital intake form.  If you are unable to access our online form, please call and request that we mail you a paper copy.

Please also fill out either of the following additional forms, if relevant to your case:

  • Auto Accident
  • Consent Form (for all insurance cases)

Please take the time to fill this paperwork in thoroughly.  A clear and detailed description of your symptoms will help your practitioner develop an effective treatment plan for your case. If pain is a concern for you, think about words to describe the specific sensations. When do they occur? How often and with what intensity?  Where are they located?

Words often used to describe different types of pain include burning, dull or achy, stabbing, sharp, radiating, numb, tingling, pins and needles, heavy, steady, throbbing, or intermittent. Also consider whether anything makes the pain better or worse, such as heat or cold, time of day, weather, or particular foods.

Once your intake form is received, we will call you to schedule your appointments.  Once your initial appointment is scheduled, you can book your own follow up appointments through the patient portal or by calling our office.

New Patients

Please call (413) 323-4773 to book an appointment.

Be advised that there is generally a 4 – 8 week wait to get started with your treatments.

Existing Patients

Established patients can use the link below to book their own follow up appointments.  Only established patients are given clearance to book themselves online.

Guidelines for office return after a positive covid test

Holistic Healthcare Services, Inc.

21 Everett Avenue
Belchertown, MA 01007
(413) 323-4773

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