New Patient Forms

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

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

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

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

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

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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