Five Element Acupuncture Baltimore
  • Home
  • Treatment Experience
  • Practitioner Profile
  • FAQ
  • Treatable Conditions
  • Testimonials
  • Books and Audio
  • Articles
  • Location
  • Fees
  • New Client Forms

New Client Forms:



If you would like know insurance benefits prior to your first visit, please fax the patient registration form to my attention at 443-449-6410. It usually takes 2-3 days to verify benefits. Please also bring both the completed intake form and the patient registration form to your first appointment.

intake_form_2014.pdf
File Size: 94 kb
File Type: pdf
Download File

patient_registration_form.pdf
File Size: 89 kb
File Type: pdf
Download File

© copyright 2010, Lillie Stewart