Wang's Acupuncture & Herbal Clinic

704.968.0351

  • 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
  • LOCATION
  • NEW PATIENT INTAKE FORMS
  • F.A.Q.
  • ONLINE PAYMENTS
  • Testimonials
  • Herbal Medicine
  • ARTICLES & PUBLICATIONS
  • More
    • 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
    • LOCATION
    • NEW PATIENT INTAKE FORMS
    • F.A.Q.
    • ONLINE PAYMENTS
    • Testimonials
    • Herbal Medicine
    • ARTICLES & PUBLICATIONS

704.968.0351

Wang's Acupuncture & Herbal Clinic
  • 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
  • LOCATION
  • 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 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

 

NOTE: PLEASE CHOOSE THE FORM BELOW.

Downloads

New Patient Intake Form BALLANTYNE (pdf)

Download

onlIne payments

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, and South Charlotte. Specializing in Acupuncture, Alternative Medicine, Pain Management and Herbal Medicine.


Wang's Acupuncture & Herbal Clinic at Ballantyne