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Please click on the form below, print it and fill it out, then bring it with you on your initial visit:

Acupuncture Health History Form

Things to consider before arriving for treatment

  • Make sure to eat something light an hour or two before arriving
  • Try to avoid the intake of caffeine or pain medications
  • Wear loose fitting clothes
  • Bring a list of medications you are taking

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9130 W. Loomis Road, Suite 900, Franklin, WI 53132, 414-704-2333
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