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North Scottsdale Acupuncture

10900 N Scottsdale Road, Suite 106, Scottsdale AZ 85254, 480-389-9030

Intake Forms

The forms below are provided to help save you time in the office. If you are coming in for acupuncture, you need to print and fill out the first THREE forms. Do not print  Authorization to Release Health Information form unless you need us to communicate with your other health care providers. 

FORMS

Please download and print the first THREE forms, complete and bring to your first appointment



Intake Forms​




Privacy Practices (Read Only) 




Authorization to Release (Read Only) 


© 2022 North Scottsdale Acupuncture

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