Flashpoint Acupuncture, Quakertown, PA Mind, Body, Spirit Medicine

Patient Forms

Please complete the forms to the best of your ability.  The more information you give the better.

Please print, complete and sign the forms and bring them with you to your initial appointment.

Acupuncture Forms

Flashpoint Acupuncture HIPAA Privacy Policy

Flashpoint Acupuncture Health Intake

If you have a Medical Condition, please get a letter from your doctor. The letter should include the diagnosis, acknowledgement of your desire to have acupuncture and his approval.

The State of PA allows acupuncturists to treat patients for 60 calendar days for a condition.  If the patient requires treatment beyond 60 calendar days, they are required to obtain a diagnosis from a medical doctor and supply the acupuncturist with this information.