PATIENT FORMS

New Patient

Please download, print, and complete the form below prior to your appointment. Please arrive a minimum of ten minutes before your scheduled appointment and submit the form to the receptionist. If you have any questions, please don't hesitate to contact us. Thank you for choosing Acupuncture Studio, we look forward to meeting you!

New Patient Intake Form

Bay Ridge Location

304 83rd Street | Brooklyn, NY

718.333.5198

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Sheepshead Bay Location

2904 Avenue Z | Brooklyn, NY

718.934.9000