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. You may print the form either from our Microsoft® Word version or Adobe® PDF version.

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

Click Here for Microsoft Word Format

Click Here for Adobe PDF Format