Online Forms

CJ Acupunture offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding acupuncture can we help you with? Let us know!

Download & Print Form


Six Syndrome Jing Fang Medical Intake Form

Download & Print Form


Download the Free AdobeReader®

Location

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Hours of Operation

Our Regular Schedule

CJ Acupunture

Monday:

9:00 am - 7:00 pm

Tuesday:

By Appointmeny only

Wednesday:

9:00 am - 7:00 pm

Thursday:

9:00 am - 7:00 pm

Friday:

By Appointment Only

Saturday:

9:00 am - 5:00 pm

Sunday:

Closed

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