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Serenity Acupuncture, Inc. Jennifer Frey, L. Ac., CAMP, AP 520 North 5th Avenue * Sequin, WA 98382 * 360-683-8550 * freak gmail.com www.serenityacupunctureclinic.com Confidential Patient Intake Form
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How to fill out Serenity Acupuncture Inc:

01
Start by entering your personal information, such as your name, address, and contact details, in the designated fields.
02
Provide your insurance information, including the name of your insurance company and your policy number, if applicable.
03
Indicate your primary reason for seeking acupuncture treatment from Serenity Acupuncture Inc. This could be for pain management, stress relief, fertility support, or any other specific concern you may have.
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Specify any existing medical conditions or allergies that the acupuncturist should be aware of before providing treatment.
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If you have any preferences, such as a specific acupuncturist or treatment technique, you can mention it in the appropriate section.
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Double-check all the information you have entered for accuracy before submitting the form.

Who needs Serenity Acupuncture Inc:

01
Individuals seeking holistic and alternative forms of healthcare to address their physical, mental, or emotional well-being.
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People experiencing chronic pain conditions, such as back pain, migraines, or arthritis, who are looking for non-pharmaceutical treatment options.
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Those dealing with stress, anxiety, or sleep disorders and searching for natural methods to promote relaxation and balance in their lives.
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Couples who are trying to conceive and are looking for acupuncture as an adjunctive therapy for fertility support.
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Individuals interested in exploring traditional Chinese medicine and its potential benefits for overall wellness.
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Patients who have tried conventional medical treatments without success or are seeking a complementary approach to enhance their healing journey.
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People interested in preventative healthcare to maintain their well-being and minimize the risk of future health issues.
Please note that while this information provides a general understanding of who may benefit from Serenity Acupuncture Inc, it is always recommended to consult with a healthcare professional or the acupuncturist themselves to determine if this form of treatment is suitable for your specific needs.
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Serenity Acupuncture Inc is a company that provides acupuncture services to promote health and well-being.
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The purpose of Serenity Acupuncture Inc is to provide acupuncture services and promote healing and wellness.
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