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Acupuncture New Patient Paperwork

If you are a new Acupuncture patient to our clinic, you are required to complete the paperwork prior to your initial visit.


Please print and complete these forms by clicking on the appropriate links below.


Please bring your completed forms to your initial visit.

Chiropractic Acupuncture


Adult Intake Form
Acupuncture Consent Form


Naturopathic Acupuncture


If you have already booked your initial visit you should have received a Welcome Email with instructions on how to complete your Intake information online for your visit. If you do not have email access please complete the form below and return to it to the office a minimum of 24 hours before your appointment so the doctor can review them prior to your visit.


Adult Health History Intake Form - age 14 & up


Norfolk Blog



Nov 2018

Children's Foundation Adopt-A-Family Program

by Marnie Kerr

It's nearly that time of year again! Halloween has passed, and Christmas is already in the air! At the clinic, we have participated in a number of different donation drives and programs, but by far the most popular of these is the... Read More >>


Nov 2018

Practitioner Profile - Bonnie Adam R.Ac.

by Marnie Kerr

It's time for another Practitioner Profile! This time around we are getting a closer look at our Registered Acupuncturist Bonnie Adam's goals, dreams, and "Why" moments. Read More >>


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