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)
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