Release Authorization

I authorize Cherry Blossom Healing Arts to release therapeutic or health information to the individuals or insurance companies named below.


The purpose of sharing the above information with the individuals or entities below is to facilitate my treatment as well as for the assistance in reimbursement of funds.


Clear Signature

Cherry Blossom Healing Arts
Cherry Blossom Healing Arts - logo
HOURS
Open 7 days a week:
Mon 10:45 am – 8:00 pm
Tue 10:45 am – 8:00 pm
Wed 9:00 am – 8:00 pm
Thu 9:45 am – 8:00 pm
Fri 8:15 am – 5:15 pm
Sat 8:15 am – 5:15 pm
Sun 9:45 am – 7:00 pm

LOCATION
2639 Connecticut Ave NW
Suite C-101
Washington, DC 20008
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