wang's acupuncture & herbal clinic

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.