wpaa8fe3e8.png
wpaa8fe3e8.png

6010 Balcones Dr., Ste 101 Austin TX 78731   512.465.9355   © 2012 Medical Arts Acupuncture & Oriental Medicine

wp739f2cd8.jpg
wp389d5d3d.jpg
wp40b30530.png
wpe9ce339b.png
wpb5fdef6a.png
wpbf1f0af7.png

Please download the appropriate forms and fill them out prior to the initial session.

 

If you do not have an access to a printer, we have these forms available at the clinic too.

Female Patient Intake Form

Male Patient Intake Form

Insurance Coverage Verification Form (optional)

 

 

Note: For all acupuncture patients, you will be asked to sign a 1) consent form to receive acupuncture treatment and an 2) arbitration agreement prior to the initial treatment in addition to the forms above. Those 2 forms are available at the clinic.

wp91c28af8.png
wp9c859813.png