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BERKELEY ACUPUNCTURE PROJECT 1834 University Ave Berkeley CA 94703 510. 845. 1100 info bapnap.com New Patient Registration and Health Questionnaire PATIENT INFORMATION CONTACT INFORMATION Date of First Visit Best phone Name Alternate phone Address Email City State Zip Another person we may contact in case of emergency Age Birthdate // Name/Relationship Preferred Pronoun He Other Phone Occupation How did you hear about us Primary physician Are you new to acupuncture Yes HEALTH HISTORY What are...
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How to fill out berkeley acupuncture project
01
Gather all necessary information including personal and medical history of the patient.
02
Ensure you have the necessary forms and documents required for the project.
03
Start by filling out the patient's basic information such as name, age, and contact details.
04
Move on to the medical history section and provide accurate information about the patient's health conditions and any previous acupuncture treatments.
05
Fill out the diagnosis section by mentioning the patient's symptoms and the main reason for seeking acupuncture.
06
In the treatment plan section, outline the proposed acupuncture techniques and frequency of sessions.
07
Include any additional instructions or precautions in the notes section.
08
Double-check all the information provided to ensure accuracy and completeness.
09
Submit the filled-out project to the appropriate department or healthcare professional.
Who needs berkeley acupuncture project?
01
Individuals seeking alternative medicine treatments.
02
People experiencing chronic pain or specific health conditions.
03
Patients looking for a non-invasive and drug-free treatment option.
04
Licensed acupuncturists or healthcare professionals conducting research or case studies.
05
Hospitals or clinics offering acupuncture services.
06
Researchers or students studying acupuncture or related fields.
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What is berkeley acupuncture project?
The Berkeley Acupuncture Project is a community acupuncture clinic in Berkeley, California.
Who is required to file berkeley acupuncture project?
The owners or operators of the clinic are required to file the Berkeley Acupuncture Project.
How to fill out berkeley acupuncture project?
The Berkeley Acupuncture Project can be filled out online or in person at the clinic.
What is the purpose of berkeley acupuncture project?
The purpose of the Berkeley Acupuncture Project is to provide affordable acupuncture services to the community.
What information must be reported on berkeley acupuncture project?
The Berkeley Acupuncture Project must report financial information, number of patients served, and treatment methods used.
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