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New Patient Forms

Please fill out the following forms and bring them to your first appointment. Fully assessing your health is crucial to providing you the best service possible. The better you fill out these forms, the better we can treat you.

We will assess if Chinese Medicine is a good fit for you and your health issues. Since acupuncture works over a course of treatments, we will then create a treatment plan that is specific to your situation.

Please complete and bring these forms with you to your consultation appointment. We will use these forms to help assess your health. The more complete you fill out these forms the better we can assess and treat your health. We look forward to meeting you and helping you feel better!


We Can Help

Call Today
(706) 888-0707

Clinic Hours
Mon - Thur
10am - 6pm

Augusta Acupuncture Clinic
4141 Columbia Road
Suite B
Augusta, GA 30907