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Welcome to MILLSTREAM ACUPUNCTURE Cindy Albion, Lac, MOM 321 N Parchment Blvd. Suite 909 Los Angeles CA 90004 ×323× 4639355 wellstreamacupuncture gmail.com Confidential New Patient Information Name
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Take your time to carefully read through the welcome to Wellstream Acupuncture form to familiarize yourself with the information it requests.
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Start by providing your personal details such as your name, address, contact information, and date of birth.
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Move on to specify your medical history and any relevant conditions you may have. It's important to be honest and thorough to ensure the acupuncturist has a complete understanding of your health.
04
Next, you may need to indicate any allergies or sensitivities you have, as well as any medication or supplements you are currently taking. This information helps the acupuncturist tailor the treatment to your specific needs.
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If you have any specific concerns or areas you would like the acupuncturist to focus on, make sure to mention them in the appropriate section.
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Finally, sign and date the form to indicate your agreement and understanding of the provided information.
As for who needs Welcome to Wellstream Acupuncture, anyone who is considering or scheduling an acupuncture appointment with Wellstream Acupuncture should fill out this form. It is a necessary step to provide the acupuncturist with important background information about your health and ensure that your treatment is safe and tailored to your needs. Whether you are a new or existing patient, the form helps the acupuncturist understand your medical history, conditions, and concerns to provide the best possible care.
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Welcome to Wellstream Acupuncture is a wellness center specializing in acupuncture treatments.
Patients seeking acupuncture treatments at Wellstream Acupuncture are required to fill out the welcome form.
Patients can fill out the welcome form in person at the wellness center or online through the Wellstream Acupuncture website.
The purpose of the welcome form is to gather important information about the patient's medical history and treatment preferences.
The welcome form typically requires information about the patient's medical history, current health conditions, and any medications or supplements they may be taking.
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