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New Patient Forms

We welcome new patients to the East West College of Natural Medicine Clinic where we provide effectively, low-cost treatment for a wide variety of ailments using acupuncture and other Oriental Medicine healing treatments.

New Patients – for your convenience, please download and print the New Patient forms below. You can then print the forms (8 pages), fill them out and present them to Clinic Reception upon your arrival. We look forward to seeing you.

Patient Information

Initial Visit: Patient Medical Record

Covid_19 Informed Consent to Treat

Arbitration Agreement

Patient Acknowledgements of Privacy and Financial Policy

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