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 before your initial appointment.

You may fax the forms ahead of time with confidence to us.
fax # 877-702-4225

Acupuncture Forms

Acupuncture Intake Form

Acupuncture Financial Policy

HIPAA Notice of Practices

Massage Forms

Massage Therapy Intake

Nutritional Forms

System Survey Form

Toxicity Questionnaire

Stress Assess Form