Forms
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When planning your consultation, it is recommended that you print and fill out the following patient information forms prior to your visit. Forms are in PDF Format. Just print the forms and fill in the required information. If you do not have Adobe Reader, download it here. |
For ALL New Acupuncture Patients
- Registration Form (For Williston Park Office)
- Registration Form (For non-cosmetic acupuncture patients in Manhattan Office) *
- HIPAA Notice of Privacy Practice (For your record only. You do not have to bring it with you.)
- Consent Form
- Arbitration Agreement Form
For New Acupuncture Patients
For New Meizen Facial Cosmetic Acupuncture Patients
For New Smoking Cessation Acupuncture Patients - Williston Park Office Only
For Weight Loss Acupuncture Patients - Williston Park Office Only
