Home
Meet Dr. Wang
Meet Dr. Ren
About Acupuncture
Chinese Herbs
Chinese Massage
Skin Care
F.A.Q.
Our Facility
Specialty Areas
Fat Loss/Abdomen
Gift Certificates
Ask the Expert
New Patient Intake
Articles & Links
Testimonials
Driving Directions
Online Payment
Products
Link Exchange

 

Dear New Patient,

Thank you for choosing us for your alternative healthcare needs. To better serve you, we have included a "New Patient Intake Form" for you to print and complete prior to your first visit. You may print the form either from our Microsoft® Word version or Adobe® PDF version.

The form consists of 4 pages in total. Please complete all pages of the form.
This will help ensure our ability to best serve your healthcare needs.

Sincerely,

Wang's Acupuncture & Herbal Clinic

PLEASE NOTICE THAT WE HAVE TWO OFFICES: (BALLANTYNE & ROCK HILL, SC). Please choose the appropriate form.

 

Click Here for New Patient Intake Form (BALLANTYNE OFFICE ONLY)

 

Click Here for New Patient intake form (ROCK HILL OFFICE ONLY)

 

 

© 2008  Wang's Acupuncture & Herbal Clinic  7810 Ballantyne Commons Pkwy, Charlotte, North Carolina Ste 300  704.968.0351  EMAIL CONTACT