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Dr. Z's Acupuncture Clinic, Inc.
3775 Truman Road
Perrysburg, OH 43551


Phone: 419-346-9202

 

 

Dr. Z's Acupuncture Clinic, Inc.
 Dr. Z's Acupuncture Clinic, Inc.

New Patients Forms

 

New patients, you can print these pages and fill them out at your convenience. 

Please have them completed and signed prior to your appointment.  

Please bring these forms and if you have medication lists or medical history forms or  X-ray reports bring them as well.

 

Patient Information.doc
Microsoft Word document [35.0 KB]
Patient Questionnaire.doc
Microsoft Word document [75.5 KB]
Patient survey.docx
Microsoft Word document [27.4 KB]

 

(419) 346-9202  Call for office hours and appointment

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