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Patient Care

Home > Clinic > Your Visit > Download Forms

Patient Forms

Upon your initial visit, you will be asked to complete new patient forms. You may download the forms here and complete them in advance.

Choose your type of visit or treatment below to download the applicable forms:

  • Acupuncture and Oriental Medicine
  • Chiropractic Medicine
  • Massage
  • Naturopathic Medicine
  • X-Ray
  • HIPAA Policy
  • HIPAA Privacy Rule Policy and Procedures

  

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    • Acupuncture
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    • Lombard, IL
    • Pinellas Park, FL
    • St. Petersburg College, FL
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 Veterans Clinic information



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Illinois 200 E. Roosevelt Lombard, IL 60148 1-800-826-6285
Florida 9200 113th St. N. Seminole, FL 33772 1-800-826-6285
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