Philadelphia Community Acupuncture
Philadelphia Community Acupuncture
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Make an appointment!


Sunday 11-7
Monday 12-7
Tuesday 1-7
Wednesday 11-7
Thursday 2-7
Friday 9-1
Saturday 12-5

 


Forms

Please read the Welcome letter first, as it provides essential information regarding how our clinic functions. You may wish to print this out for your reference. The sliding scale document is included here for your reference only. As always, you pay what you feel you can afford within our sliding scale.

Please print and fill out the Health History Form and Informed Consent, and bring them with you to your first appointment. Community Acupuncture depends upon your support. By helping us in this way, we have more time to focus on your health as opposed to shuffling papers. We are grateful for your participation in Community Acupuncture. If you don't have the time or ink to print these out and bring them with you, please arrive 20-30 minutes early to your first appointment and you can fill them out in our waiting room.

 Welcome letter

 Registration/Health History Form

 Sliding Scale Form

 Informed Consent

**For your information: PCA accepts cash, checks and credit cards. (Just not American Express)