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NEW PATIENT FORM

Please fill out this form before your appointment if this is your first visit!

​COVID-19 INFORMED CONSENT FORM

Please fill out the​ form before the appointment due to current COVID-19 pandemic situation.

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WORKER COMPENSATION FORM

For workers and patients who file insurance claim

File Submission 
Upload Insurance Card
Max File Size 15MB

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© 2019 by Acupuncture Health Center

CALL US: 949-582-9588

LOCATION:

192 Technology Dr Suite#H, Irvine, CA92618
27601 Forbes Rd #30, Laguna Niguel, CA92677

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