Dusty & his sons

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Central Coast Family Acupuncture

Acupuncture, Traditional Chinese Medicine, Chinese Herbs

Please Print and bring to your appointment

Acupuncture-Informed-Consent CCFA.pdf

HIPPA Notice of Privacy Practices .pdf

Acknowledgement_of_Privacy.pdf

Patient Financial Agreement/Patient Responsibility.pdf

This file is for your records and does not need

to be signed

Patient Health History CCFA.pdf

Arbitration agreement -CCFA.pdf

Notice of Privacy Practices CCFA.pdf

patient_conf_info_form CCFA.pdf