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Wang's Acupuncture & Herbal Clinic

704.968.0351 Ballantyne 803.366.8600 Rock Hill

  • Home
    • Addiction Control
    • Acne
    • Allergies
    • Cancer Management
    • Chinese Massage
    • Chronic Fatigue
    • Depression / Anxiety
    • Diabetes
    • Facial Rejuvenation
    • Fat Loss of Abdomen
    • Fibromyalgia
    • Herbal Medicine
    • High Blood Pressure
    • High Cholesterol
    • IBS / Irritable Bowel
    • Immune System Disorders
    • Infertility
    • Menopause
    • Pain Management
    • PMS / Menstrual Disorders
    • Sciatica
    • Skin Care
    • Sleep Disorder
    • Smoking Cessation
    • Soft Tissue Injury
    • Sports Injury
    • Stress
    • TMJ / Facial Paralysis
    • Weight Loss
  • OUR STAFF
  • Contact
  • LOCATIONS
  • NEW PATIENT INTAKE FORMS
  • F.A.Q.
  • ONLINE PAYMENTS
  • Testimonials
  • Herbal Medicine
  • ARTICLES & PUBLICATIONS
    • Home
    • SPECIALTY AREAS
      • Addiction Control
      • Acne
      • Allergies
      • Cancer Management
      • Chinese Massage
      • Chronic Fatigue
      • Depression / Anxiety
      • Diabetes
      • Facial Rejuvenation
      • Fat Loss of Abdomen
      • Fibromyalgia
      • Herbal Medicine
      • High Blood Pressure
      • High Cholesterol
      • IBS / Irritable Bowel
      • Immune System Disorders
      • Infertility
      • Menopause
      • Pain Management
      • PMS / Menstrual Disorders
      • Sciatica
      • Skin Care
      • Sleep Disorder
      • Smoking Cessation
      • Soft Tissue Injury
      • Sports Injury
      • Stress
      • TMJ / Facial Paralysis
      • Weight Loss
    • OUR STAFF
    • Contact
    • LOCATIONS
    • NEW PATIENT INTAKE FORMS
    • F.A.Q.
    • ONLINE PAYMENTS
    • Testimonials
    • Herbal Medicine
    • ARTICLES & PUBLICATIONS

704.968.0351 Ballantyne 803.366.8600 Rock Hill

Wang's Acupuncture & Herbal Clinic

  • Home
  • OUR STAFF
  • Contact
  • LOCATIONS
  • NEW PATIENT INTAKE FORMS
  • F.A.Q.
  • ONLINE PAYMENTS
  • Testimonials
  • Herbal Medicine
  • ARTICLES & PUBLICATIONS

wang's acupuncture & herbal clinic

PATIENT INTAKE FORMS

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. 

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 AREA, CHARLOTTE, NC & ROCK HILL, SC).  


NOTE: PLEASE CHOOSE THE APPROPRIATE FORM BELOW.

Downloads

New Patient Intake Form BALLANTYNE (pdf)Download
New Patient Intake Form ROCK HILL,SC (pdf)Download

onlIne payments

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YOU CAN PAY ONLINE

We offer online payment via PayPal.  All major credit cards accepted.

PAY ONLINE

Ballantyne Acupuncture. Wang's Acupuncture & Herbal Clinic Serving Ballantyne, Piper Glen, South Charlotte, and Rock Hill South Carolina. Specializing in Acupuncture, Alternative Medicine, Pain Management and Herbal Medicine.


Wang's Acupuncture & Herbal Clinic at Ballantyne