Acupuncture & Herbal Works


 
 

New Patient Medical  

  • Please complete both forms on the right and mail or FAX them to the address below.

  • Please contact the office to schedule an appointment.

  • If you have any questions or need help in completing any of the forms please feel free to contact the Acupuncture & Herbal Works at the number below.

Acupuncture & Herbal Works
254 North Main Street
Seneca, PA 16346

Telephone: (814) 677-3062
 FAX: (814)
677-6282

Thank you for choosing
 Acupuncture & Herbal Works!

 

 

 

 

 

  

Forms

Please click  on the forms
below to complete.
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is required!

 

 
Medical History Form
Consent For Treatment
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