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 6 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

Downloads

New Patient Intake Form BALLANTYNE (pdf)

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

Wang's Acupuncture & Herbal Clinic at Ballantyne