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Natalie Simak Acupuncture in Columbia, MD

Forms

Patient Intake Form

Please download, print and take time to fill out the Patient Intake Form and bring it with you to your first appointment. The information you provide will allow for a treatment plan to be designed specifically for you. It also gives us a baseline of where you are now so that we can evaluate what treatment will serve you better.

 

 

Download the Patient Intake Form