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    • Home
    • About Us
    • Acupuncture
    • Cupping
    • Herbal Medicine
    • Pricing
    • Contact Us
    • V-Steam
    • Book Now
    • Insurance Verification
    • New Patient Forms
    • Meet Our Acupuncturists
    • Gallery
    • Nutrition
    • Qi Gong
  • Home
  • About Us
  • Acupuncture
  • Cupping
  • Herbal Medicine
  • Pricing
  • Contact Us
  • V-Steam
  • Book Now
  • Insurance Verification
  • New Patient Forms
  • Meet Our Acupuncturists
  • Gallery
  • Nutrition
  • Qi Gong

New Patient Forms

Please bring completed forms with you to your initial visit or arrive 10 minutes early to complete so as not to interfere with your treatment time.


If you plan on using your insurance please submit your insurance information as soon as possible so we can verify benefits before your visit. 

NEW PATIENT FORMS (pdf)

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Acupuncture & Herbal Healing Center, LLC


4900 31st St S, Arlington, VA 22206 | 703-855-3910

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