Amy Moll
Licensed Acupuncturist
365 Kearney Ave
Bend OR 97701
p. 541.390.8184

Welcome new patients!

To help you save time, you can print out the following forms and fill them out at your convenience. Please bring them with you on your first visit.

If you have any questions about the forms or your first treatment, feel free to call me or

New Patient Forms

Patients seeking treatment for fertility please fill out the additional form below:

Insurance

Healing Response Acupuncture does bill most insurance companies. If you want this service, please print and fill out the following form. You will most likely need to call your insurance company for help answering questions. Remember to bring this with you for your first appointment.

Clinic Location:

Healing Response Acupuncture is located 1 block north of Greenwood/20 on Kearney Avenue between Business 97 and 4th Street.

365 NE Kearney is the blue house east of Kearney Street Boutique.
Map of 365 NE Kearney Ave Bend, OR 97701-4551, US