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Initial Acupuncture Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet’s before your visit.

Initial Acupuncture Form

Initial Acupuncture Form

Please be sure that we have received you pet’s medical records from your primary care veterinarian. We need to have these to combine with our physical examination findings to enable us to develop the most accurate diagnosis and formulate the finest therapeutic plan for your pet. (Some hospitals will not release a pet’s medical record without the owner/pet parents’ consent.)