Acupuncture for Balanced Wellness
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New Patient Forms

We recommend that you eat a light meal or snack prior to coming in for your first acupuncture treatment.

Expect to spend about 75 minutes in the office for your first visit. Please arrive at least 10 minutes prior to your first acupuncture appointment in order to complete the necessary paperwork. To save time, you may wish to print, complete, and bring in the following form with you on your first visit.


Acupuncture New Patient Questionnaire


The downloadable form is in PDF format. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.