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