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  • Pediatric Acupuncture

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    Forms

    Download our online forms to fill out before you come to your appointment to save time.

    Pediatric Intake Form
    Pediatric Intake Form
    Consent Form
    Consent Form
    HIPPA Form
    HIPPA Form
    Detailed Information
    Detailed Information
    ORS 192 Form
    ORS 192 Form
    New Patient
    New Patient
    Consult
    Consult
    5 Elements Quiz
    5 Elements Quiz

    * Individual results vary. No guarantee of specific results is warranted or implied and your results will depend on many factors. Full disclaimer