Mandatory Disclosure Form: Stefanie Rothert LAc. L.M.T. 

7595 66th ave arvada, co 80003

1800 30th St. Suite 309 Boulder, CO 80301

• Masters of Science in Oriental Medicine Herbology. This is a 3045 hour program including 1140 hours of clinical experience. Completed in December of 2009. Southwest Acupuncture College, Boulder, Co. Pacific College of Oriental Medicine, San Diego, CA.

: Includes the study of Acupuncture and Chinese

• Nationally Certified in Acupuncture. : Medicine. August 2009.

National Certification for Acupuncture and Oriental

• Certificate of Massage Therapy:

The Connecting Point School of Massage Therapy. Telluride,

• Nationally Certified in Massage Therapy: Completed and maintained since November 2002. Stefanie is licensed in the state of Colorado. These certificate or licenses have never been revoked. Her practice includes the modalities; various styles of Massage, Acupuncture, Chinese Herbology, Gua sha, Cupping and Moxibustion. This clinic complies with the rules and regulations promulgated by the Colorado Department of Health, including the proper cleaning, disposal and sanitation of needles and sanitary practices of acupuncture offices. Only single use, factory sterilized, and disposable needles are used. Patient’s rights:

• The patient has the right to receive information about all of the therapeutic techniques used, if known.
• The patient is entitled to get a second opinion from another healthcare professional or to terminate treatment at any time.
• In a professional relationship, sexual intimacy is never appropriate, and should be reported immediately to the Director of Registrations in the department of regulatory agencies.
• Stefanie’s training and experience in the recommendation and application of adjunctive therapies and Herbs as defined by Traditional Medical Concepts. The practice of acupuncture is regulated by the Director of Registrations, Colorado Department of Regulatory Agencies. If you have comments, questions, or complaints, please contact the Acupuncturists Registration Office, 1560 Broadway Suite 1350, Denver, Co, 80202. (303) 894 2440.