Authentic Chinese Acupuncture, PLLC 1370 116th Ave NE, Suite 208, Bellevue, WA 98004, 425-646-6888

Authentic Chinese Acupuncture Clinic Form

New Patients: Print and fill out this form to speed up the intake process during your first visit.

New Patient Registration Form
Arbitration Informed Consent Agreement Form
Women Fertility History Form (for fertility acupuncture only)
Auto Injury History Form (for auto injury acupuncture only)

Better Health Starts
from Here!