Hua-bing Wen, L.Ac., OMD
Acupuncture Center
 

Patient Forms

These are forms you can download and fill in.

1. Patient Medical History Form(PDF)

2. Physician-Patient Arbitration Agreement Form(PDF)

3. Consent Form(PDF)

4.  New Patient Completed Forms (PDF)

  

     

     

     

     

     

     

     

     

     

     

     

     

       

       

       

       

       

       

       

       

       

       

       


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      Call for an appointment

       Acupuncture Center


      441 S. Beverly Drive, Suite 8
      Beverly Hills, CA 90212

      Tel:(310) 360-7556
      Fax: (310) 360-7560

      http://www.wenacupuncture.com/
      http://www.acupunctureinfertilitygroup.com

       

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