Downloadable Forms
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: .doc files can be opened in Microsoft Word. |
|||
| Patient information sheet* | ||||
| Patient consent form* | ||||
| Acknowledge Receipt of Privacy Practices* | ||||
| *Required for 1st visit | ||||
| Infertility Sheets: | ||||
| Basal Body Temperature (BBT) chart | ||||
| Article on taking your Basal Body Temperature | ||||
| For Stop Smoking Acupuncture: | ||||
| Stop Smoking Patient information sheet | .doc | |||
| Patient
consent form* *Required for 1st visit |
.doc | |||
| For your information: | ||||
| Self Assessment Profile | .doc | |||
| Notice of privacy practices | .doc | |||
| Know Your Acupuncturist |
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