Patient Forms
If you are a new patient, please expedite the process by filling out our forms.

Adult Intake Form

Pediatric Intake Form - newborn to 5 years old

Pediatric Intake Form - 6 to 12 years old

Diet Diary - For keeping track of food intake



balance, nutrition, health
 
General Information, Clinic Hours for Acupuncture
PARKING:

Metered parking is available on West Liberty Avenue. The Dormont public parking lot is also available with metered parking spaces. It is located on the west side of West Liberty Avenue between Kelton Avenue and Hillside Avenue. As a courtesy, Trillium Natural Medicine will reimburse patients for parking fees.

PAYMENT POLICY:

Payment is due in full at time of service. Trillium Natural Medicine accepts cash, checks, Visa or MasterCard.

INSURANCE COVERAGE:

Many health plans now cover acupuncture and various natural therapies. Although we do not accept insurance, we will provide you with all the necessary information and codes in order for you to submit your own claim for reimbursement from you insurance company.

CANCELLATION POLICY:

If patients need to reschedule their appointment, we request 24 hours notice. Patients who do not cancel within 24 hours will be charged a cancellation fee.


Front door of Trillium Natural Medicine
 
Directions to Trillium Natural Health
Trillium Natural Medicine is located at 3043 West Liberty Ave. (Rt. 19), Pittsburgh, PA
For more detailed directions please call the clinic.

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Chinese medicine in Pittsburgh, PA