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Forms

Prior to your first appointment you are able to download and print the forms that we require at your initial visit.  This can save you time in the office, however, if you do not have access to a printer you may arrive a few minutes early for your appointment to fill them out.

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Welcome to Downeast Community Acupuncture - This form gives you a detailed explanation about what you can expect from treatment at the Downeast Community Acupuncture Clinic. It also describes your responsibility as a patient and the process of acupuncture.  (Does not need to be printed)

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Health History Form- The Health History Form will ask you to provide the acupuncturist with detailed information about your health and the reasons for your visit.  Please print and fill out for first visit.

 

If you do not have a printer, please arrive 15 minutes early for your appointment to complete them at the clinic.

  • Downeast Community Acupuncture Faceb

Downeast Community Acupuncture

87 US Highway #1 (next to Ft. View Variety)

Verona Island, ME 04416  (207) 479-2944

© 2023 downeast community acupuncture all rights reserved

Clinic Hours:

Tues 9am - 1pm and 3pm - 7pm
Wed  2pm - 6pm
Fri 9am - 1pm
Sat 9am - noon

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