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ACUPUNCTURE WELLNESS CLINIC 214 Summer field St, Thousand Oaks, CA 91360 Tel: 8187638229×8055901123 www.acuwell.metaehealth.com NEW PATIENT INTAKE FORM Today's Date / / General Patient Information:

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What is ak-u-puncture wellness clinic?

Ak-u-puncture wellness clinic is a holistic health center that offers acupuncture services to promote well-being.

Who is required to file ak-u-puncture wellness clinic?

Anyone operating an ak-u-puncture wellness clinic must file the necessary paperwork according to local regulations.

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To fill out ak-u-puncture wellness clinic forms, one must provide accurate information about the clinic's name, address, services offered, and any other required details.

What is the purpose of ak-u-puncture wellness clinic?

The purpose of ak-u-puncture wellness clinic is to provide alternative medicine options to promote healing and overall health.

What information must be reported on ak-u-puncture wellness clinic?

Information such as patient records, treatment plans, billing details, and any other relevant information related to the clinic's operation must be reported.

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