Please download the form(s) attached to the links below to register for one of our following services, before your first visit to our office or please prepare for extra time to fill forms at the clinic for your first visit.
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- For Acupuncture or Combined Treatment Patients
- Patient Information Form
- Health History Questionnaire
- Patient Consent
- Clinic & Payment Policy ( Please read carefully, no need to sign)
- For Acupuncture or Combined Treatment Patients
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- For Massage Only
- Patient Information Form
- Clinic & Payment Policy ( Please read carefully, no need to sign)
- For Massage Only
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- For Auto Accident Injury Claims
- Patient Information Form
- Health History Questionnaire
- Patient Consent
- Motor Vehicle Accident Form
- Patient Financial Contract
- Doctor's Lien
- Clinic & Payment Policy( Please read carefully, no need to sign)
- For Auto Accident Injury Claims
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- Allergy Treatment
- Allergy Questionnaire
- Herbal Patch Instruction
- Clinic & Payment Policy( Please read carefully, no need to sign)
- Allergy Treatment
Please note some services and products may not be covered by your insurance. Please read and sign on the form Non-Covered Services Agreement, and take it to the clinic at your first visit.
Feel free to contact us if you have any questions regarding the form(s).