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Downloadable Forms

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Acupuncture Intake Form

Please print and fill out this form before receiving acupuncture treatment.

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HIPAA Notice of Privacy Practices

This document explains your rights and privacy under HIPAA guidelines. If you have any additional questions, please feel free to call us and ask!

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Patient Intake Form

Please print, fill out this form, and bring with you prior to your first treatment at CCWC.