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Please print the form corresponding to your visit (Abbreviated Session or Full session) and fill out prior to arrival for your first appointment. All pages of each form are required by Virginia State law.

Full Session Intake:

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Fill out and submit online

or

Download, Print and Fill Out (please bring to your appointment!)

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15/30 Minute Sessions, Friends and Family Session Intake:

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Fill out and submit online

or

Download, Print and Fill out (please bring to your appointment!)

© 2019-2025 by Winding Path Acupuncture

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