Lotus Root Acupuncture

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For your convenience, you can download all the forms needed for treatment, insurance, medical history and more. There are even Gift Certificates so you can give the gift of natural health.


Click on any link to download the form.


New Patient Registration Form


Medical History and Lifestyle Form


Consent Form


Verification of Insurance Coverage Form


Student and Senior Discount Form


Gift Certificate Form


Patient Forms

West Portal Acupuncture