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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

Flashpoint Acupuncture Health intake

HIPAA Notice of Practices

COVID-19 Informed Consent

Massage Forms

Massage Therapy Intake

Nutritional Forms

System Survey Form

Toxicity Questionnaire

Stress Assess Form

Friselina Locadia, M.Ac.
Licensed Acupuncturist

Flashpoint Acupuncture
127 S. 5th Street
Suite 120
Quakertown, PA 18951
Phone: 484-695-5200
Fax:     877-702-4225
Email me

By Appointment Only

Mon, Wed, Thurs, and Friday  10am to 7pm