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Patient Forms
Please fill out the appropriate forms, and bring them with you on your next visit. Thank you.
Consent Forms
Health Questionnaire
- Dr. Logan's Health Questionnaire Form
- Dr. Burkland's Consent for Treatment Form
- Dr. Burkland's Third-Party Billing Form
- Dr. Burkland's New Patient Intake Form
- Dr. Burkland's Notice of Privacy Practices
- Dr. Burkland's Registration Form
- Beth Miller's New Patient Intake Form
- Dalite Sancic's New Patient Intake Form
- Dalite Sancic's Understanding Acupuncture Information