All the forms needed as a new patient

If you prefer to download the forms and bring with you to your first visit

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Individual forms

Consent To Treat

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HIPPA Notice

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Financial Policy

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Medical In-Take And History

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“Health is a complete state of harmony of the body, mind, and spirit. When one is free of physical disabilities and mental distractions, the gates of the soul open.”

— B.K.S IYENGAR

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ph: 561-467-0288

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175 Toney Penna Drive
Suite 201
Jupiter, FL 33458

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Palms Acupuncture and Wellness