Acupuncture and Oriental Medicine Forms
New patient forms
Prior to arriving for your appointment, complete the new patient forms and bring them with you. You may be asked to complete additional forms when you arrive. If you are unsure of how to answer, check with the front desk staff.
- New Acupuncture and Oriental Medicine Patient - ADULT (pdf)
- New Acupuncture and Oriental Medicine Patient - PEDIATRIC (pdf)
For questions, contact:
Burnsville Natural Care Center
burnsvillencc@nwhealth.edu
952-894-7620

