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Community Acupuncture Intake Form Date:!/!/!!PATIENT INFORMATION Name: ! Date of Birth (mm/dd/YYY):!/! Phone (primary):!!! Emergency contact:!!!/!! Gender Identity:!!!! Phone:! Email: ! Is it okay

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What is community acupuncture?

Community acupuncture is a style of acupuncture where multiple people are treated together in a group setting, typically in a shared space.

Who is required to file community acupuncture?

Community acupuncture clinics and practitioners who offer this service are required to file community acupuncture.

How to fill out community acupuncture?

To fill out community acupuncture, clinics and practitioners must provide information about the number of patients treated, the type of treatments provided, and any fees charged for services.

What is the purpose of community acupuncture?

The purpose of community acupuncture is to make acupuncture more accessible and affordable to a larger group of people by offering treatments in a group setting.

What information must be reported on community acupuncture?

Information such as the number of patients treated, types of treatments provided, fees charged, and any outcomes or feedback from patients may need to be reported on community acupuncture.

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