FORMS

Copyright 2008, Wellness and Acupuncture of Fort Lauderdale, All rights reserved.

2720 E. Oakland Park Blvd. Suite 109, Fort Lauderdale, FL 33306, 954-675-5189

info@wellnessandacupuncture.com

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EVALUATION

If you are coming in to our office for an evaluation, please fill out our Stress Survey so we can more thoroughly understand your conditions and try to help you: 

Evaluation Stress Survey.pdf



TREATMENT FORMS

Please feel free to download, print and complete our

Intake Form & Metabolic Assessment Form

before you come in for your first treatment.


Please take your time and complete BOTH forms thoroughly.


Just click on the following links below:

1)  Intake Form.pdf

2)  Metabolic Assessment Form.pdf