Clinic | Forms

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Qi Gong Master

Coming soon.

News

Many Paths Acupuncture has moved! Downstairs, now in Suite 101 instead of Suite 201. Hope to see you soon.

Office Location

Many Paths Acupuncture
700 Prospect St., Suite 101
Port Orchard, WA 98366.

360-621-8310


 

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Clinic Forms in PDF Format

In order to save you time we have provided you access to some important forms so that you may download, review and complete these prior to scheduling your first visit with us.

Consent Form
Please read this information carefully, and ask your practitioner if there is anything that you do not understand.
Download PDF Consent Form
Health History
Your answers on this form will help your provider understand your medical concerns and conditions better.
Download PDF Health History Form
Health Information Privacy (HIPAA)
This notice describes our office’s policy for how medical information about you may be used and disclosed, how you can get access to this information, and how your privacy is being protected.
Download PDF HIPAA Form
Financial Policy & Fee Schedule
This form describes specific services, fees and important information concerning insurance and payment policies.
Download PDF Financial Policy Form
Adobe Reader
If you don't already have Adobe Reader, you can get it below.
Get Adobe Reader