New Patient Forms

These forms are required by new patients for your first visit to our office,and are presented here for your convenience.They are broken into two categories adult and children. Please choose the appropriate form and fill it out prior to your visit in the privacy and convenience of your home. If you have questions please call us.

Your careful consideration to the questions contained in the forms below will enhance our efficiency and will provide for more effective use of your scheduled consultation time. These questions will help to identify underlying causes of illness and will help us formulate a treatment plan. Please take the time to print them at home and bring them with you to the office.

Acupuncture Forms

Frequency Specific Microcurrent Forms

Adult Intake Forms

Pediatric Intake Forms

Wellness Forms

Questions? Please Call Us

Office Telephone Number (717) 243-0616

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Hours of Operation

Our Regular Schedule

Primary Location


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-12:00 pm