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PATIENT FORMS

Please bring your completed New Patient Questionnaire on your first visit to Eugene Family Acupuncture. The following forms are formatted for Adobe Reader (PDF). Simply download the file, print out the form, and fill it out to the best of your ability.

New Patient Questionnaire

Eugene Family Acupuncture logo

P.O. Box 146, Lowell OR 97452

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Tel: 1-541-525-9580

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© 2025 by Eugene Family Acupuncture.

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