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Please help us prepare for your appointment. In order to responsibly treat you, it's important to know as much as possible about your past and present physical condition(s). Your medical history provides is an important guide for us in recommending the best treatment.

Prior to your appointment at Shequin Acupuncture, please print
and complete each form below. You may mail them to us or bring them with you at your appointment.

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Thank you! We look forward to your office visit.

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