New Patient Forms | Acupuncture Tradition - Traditional Chinese Medicine

Patient Forms

New Patient Forms

New Patient

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Hippa Form

medical Form

Consent to treatment

Office Policy

Location of Discomfort

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Office (631) 403-3254 (text capable)

640 Belle Terre Road

Building D, Suite #2

Port Jefferson, NY 11777

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Contact Info

Office (631) 403-3254 (text capable)

640 Belle Terre Road

Building D, Suite #2

Port Jefferson, NY 11777

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