Forms & Policies

Currently, Dr. Chiu does not contract with insurance companies, Medi-Cal, or MediCare. A receipt will be provided for out-of-network reimbursement. Please check with your insurance company to see if you are eligible.

Payment is due at the time of service. Any prior authorizations will be handled in session or billed the hourly rate. 24 hours notice is required for canceling or rescheduling appointments. If you miss an appointment without proper notification, you will be billed the full fee unless the spot can be filled with another patient.

Forms
Intake Questionnaire