74 E. 18th Ave, Suite 4, Eugene OR 97401

Tel: 1-541-525-9580

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© 2019 by Eugene Family Acupuncture.

Please bring your completed forms 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

Insurance Check Form