240-603-7272
4545 42nd St., NW, Suite 306, Washington, DC 20016
Wed - Sat: 8:00am - 4:00pm
Earley Wellness Group
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New Patient Resources
Find all of our new patient forms below.
Please bring all relevant forms with you on your first visit.
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Acupuncture Health History Form (PDF)
Acupuncture HIPPA Voluntary Consent Form (PDF)
Acupuncture New Medical Authorization and Cancellation Policy (PDF)
Men's Fertility History Form (PDF)
Women's Fertility History Form (PDF)
Oncology Health History Form (PDF)
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