240-603-7272
1705 Desales St NW 6th floor, Washington, DC 20036
Thur & Fri 10-5, Sat 9-5
Earley Wellness Group
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New Patient Resources
Find all of our new patient forms below.
Please bring all relevant forms with you on your first visit.
Acupuncture6>
Acupuncture Health History Form (PDF)
Acupuncture HIPPA Voluntary Consent Form (PDF)
Acupuncture New Medical Authorization and Cancellation Policy (PDF)
Men's Fertility History Form (PDF)
Women's Fertility History Form (PDF)
Oncology Health History Form (PDF)
Massage6>
Massage Client Information (PDF)
Massage Physician Referral (PDF)
Massage Physician Permission (PDF)
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