Acupuncture, Traditional Chinese Medicine and More
New Patients - Please print out the attached intake form and complete to bring with you to your appointment.
Women's Health Intake Form
For any women interested in fertility acupuncture and/or women’s health acupuncture, please fill out this form in addition
to the regular intake form.
*Individual results vary. No guarantee of specific results is warranted or implied and your results will depend on many factors
5245 Office Park Blvd Suite 103 | Bradenton, FL 34203