Fort Collins Family Acupuncture
Located inside Natural Health Associates
313 West Drake Rd - Suite 210
Fort Collins CO 80526

Phone - 970-472-0955
Fax - 970-372-4437

Patient Forms

Patient Intake Form

If you are a first time patient, these are the Patient Intake Forms you will need to fill out.

You may want to take time to download these forms from our website, and fill them out prior to your visit. If you do this, please plan to arrive 5 minutes prior to your appointment, so we can get your paperwork processed.

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If you would rather fill the paperwork out in the office, plan to arrive 20 minutes prior to your appointment.

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Please note, if you will be using insurance, we recommend you call your insurance carrier or login to your online portal to see what your acupuncture plan benefits are. 

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*The link will open a new browser window on your computer where you can choose to print the file, or save it as a PDF file on your computer and then print it, to fill out and bring with you — (these forms are ADOBE PDF forms which require the free ADOBE Reader Software to open- see link at bottom of page if you need the free ADOBE software.)

 NOTE  – Also check this link for other New Patient Information.

Get free Adobe Reader software You will need Acrobat Reader to download the form. If you need this free software for your computer here is a link for Adobe Reader.

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