CCF Acupuncture Clinic
Catherine Carleton-Fitchett R.Ac
Catherine Carleton-Fitchett R.Ac
Traditional Chinese Medicine
Traditional Chinese Medicine
Preventative, Effective & Rehabilitative Health Care
Downloads
Downloads
New patients are required to complete an intake form prior to the first appointment. Please complete all pages to the best of your ability as it will assist in providing a comprehensive treatment. Choose one of the following:
Print Version
Print Version
Download, print, complete all pages of this form and bring it with you to your first appointment.
Fillable Version
Fillable Version
Download, complete all pages of this form and email it back to [email protected] prior to your first appointment.