raleigh acupuncture,raleigh nc acupuncture,north carolina acupuncture | acupuncture pain and stress center - serving raleigh, nc with licensed acupuncturist Jim Eleczko, LAc.

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Patient Paperwork for Acupuncture in Raleigh, NC

Below you will find the new patient forms for our Raleigh acupuncture clinic. In preperation for your first visit please print out the new patient paperwork. If you do not have access to a printer don't worry you can fill it out when you arrive.

New Patient Packet (pdf)

HIPPA Privacy Policy (pdf)

Additional Infertility form (pdf)

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Acupuncture Pain and Stress Center 100 E Six Forks Rd, Suite 302 Raleigh, NC 27609
Call: 919-260-4104 Hours: Monday through Friday, By appointment only Payment Accepted: cash, visa, mastercard

Raleigh Acupuncture | Raleigh NC Acupuncture | Site Map

My Raleigh acupuncture clinic has helped many people just like you. Discover how gentle and effective acupuncture can be. Call 919-260-4104 and overcome your pain, stress and chronic health issues.