Online Form
We offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
If you do not already have AdobeReader installed on your computer, click here to download.
Download the necessary form(s), print it out and fill in the required information.
Please fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form (Required)
- This lets us know the history and current state of your health. What questions, concerns, goals, regarding acupuncture can we help you with? Let us know!
Download & Print Form (pg.1)
Download & Print Form (pg.2)
Download & Print Form (pg.3)
Download & Print Form (pg.4)
Payment options
- Ming Chiropractic & Acupuncture believes in the value of acupuncture for you and your family and have maintained a pricing structure that allows care for all budgets.