Download and print these forms prior to your first office visit.
If you prefer, forms can be mailed to you, call 910.798.8181 to receive a welcome packet.
| For Acupuncture: | Adobe Reader: Click here to get Adobe Reader to read .pdf files. |
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| Patient information sheet* | ||
| Patient consent form* | ||
| Acknowledge Receipt of Privacy Practices* | ||
| *Required for 1st visit | ||
| For Infertility: | ||
| Basal Body Temperature (BBT) chart | ||
| Article on taking your Basal Body Temperature | ||
| For Stop Smoking: | ||
| Stop Smoking Patient information sheet | ||
| For your information: | ||
| Self Assessment Profile | ||
| Notice of privacy practices | ||
| Know Your Acupuncturist |
