Acupuncture Paperwork

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Click the link below to download the New Patient Paperwork for Acupuncture: aa

New Patient Forms

You download the paperwork by mousing over the bottom right-hand corner to reveal the navigation button bar. To print straight away, click the printer icon. To simply download the pdf, click the hard disc icon:

Creative Integrations | Acupuncture, Herbs, Massage | GIna Zuleger | Christopher Warren


Fill out and either scan/email the paperwork to or fax to 949.757.0097

PLEASE remember to bring the original documents with you to your first appointment! Failure to bring the documents with wet signatures will mean you will have to fill out all over again (it’s a legal/insurance thing).

If you cannot fill out the paperwork and send in to us, simply bring it with you. If you cannot fill out the paperwork, please let us know and plan on arriving 15 minutes before your scheduled appointment time to fill everything out. Thanks!


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