© 2017 by Mossop Acupuncture

New Patients

Please print out and complete the following forms. Please bring them to you first appointment so that you can get the most out of your treatment.

 

 

Health History:

 

 

Privacy Practices:

 

 

Receipt of Privacy Practices:

 

 

Informed Consent:

Fee Schedule/Office Policies: 

Please prepare for your appointment by:

  • Make sure to eat something light an hour or two before arriving

  • Wear loose fitting clothes

  • Bring a list of medications you are taking

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