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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.


Wang's Acupuncture & Herbal Clinic


Click Here for New Patient Intake Form (Adobe PDF Format)



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