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.
Friselina Locadia, M.Ac.
Licensed Acupuncturist
Flashpoint Acupuncture, LLC
127 S. 5th Street
Suite 120
Quakertown, PA 18951
Phone: 484-695-5200
Fax: 877-702-4225
Email me
By Appointment Only
Wednesday, Thursday, Friday 10am to 7pm