To help make your first visit to our practice as smooth as possible, please
read the information on this web page. You'll find all the practical
information you need, such as a map and directions to our office(s), practice hours
Our practice is working together to realize a shared vision of uncompromising excellence in medical care.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Pure Acupuncture & Natural Medicine offers patient form(s) online so you can complete them 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.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patients Acupuncture Forms
Acupuncture New Patient Form
Office Policy and Doctor Lien
Patient HIPAA Questionnaire
Notice of Privacy Practices
General Consent & Records Release Form
New Patient Fertility Form - Men and Women