Central Coast Family Acupuncture 

Acupuncture, Traditional Chinese Medicine, Chinese Herbs

Dusty & his sons
Dusty & his sons

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Dusty & his sons
Dusty & his sons

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    Please Print and bring to your appointment 

    Acupuncture-Informed-Consent CCFA.pdf
    Acupuncture-Informed-Consent CCFA.pdf
    HIPPA Notice of Privacy Practices .pdf
    HIPPA Notice of Privacy Practices .pdf
    Acknowledgement_of_Privacy.pdf
    Acknowledgement_of_Privacy.pdf
    Patient Financial Agreement/Patient Responsibility.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
    Patient Health History CCFA.pdf
    Arbitration agreement -CCFA.pdf
    Arbitration agreement -CCFA.pdf
    Notice of Privacy Practices CCFA.pdf
    Notice of Privacy Practices CCFA.pdf
    patient_conf_info_form CCFA.pdf
    patient_conf_info_form CCFA.pdf
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