North Florida Acupuncture - Patient Forms

North Florida Acupuncture - Acupuncture & Natural Medicine

Forms

Below is a list of forms to be completed by the patient and brought to their first visit. It is important to fill the forms out to the best of your ability before your initial consult and treatment.

Patient Information.pdf

Self Assessment Form.pdf

Archetype Self Assessment.pdf

Arbitration-Agreement.pdf

Notice of Privacy Practices.pdf

Privacy Practices Form.pdf

Financial Policy.pdf

Patient Preparedness.pdf