AcuWell Cape Cod
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New Patient Forms

new_patient_information_sheet.pdf
File Size: 93 kb
File Type: pdf
Download File

health_history_form.pdf
File Size: 60 kb
File Type: pdf
Download File

what_to_expect.odt
File Size: 25 kb
File Type: odt
Download File

consent_totreatment_form.pdf
File Size: 55 kb
File Type: pdf
Download File

hipaa_form.pdf
File Size: 47 kb
File Type: pdf
Download File

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All clients are required to fill out the above forms prior to their first treatment.  

AcuWell Acupuncture

Helping you feel better

1379 Route 28A
Cataumet, MA 02534

Hours:
Monday-Friday 9:30am-6:30pm
​Some Saturdays

​1.508.457.5855 dafneyshufelt@gmail.com

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  • Home
  • Treatments- Microneedling
  • Common Questions
  • About Dafney
  • Contact
  • Forms