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Forms

Please contact the office to schedule an appointment prior to filling out the forms.

Once you have an appointment, please bring the completed forms to your first appointment.

Click here to fill out the form online.

Click here to download a printable form.

Elements Acupuncture

Amanda Goossen, L.Ac. M.Ac.

Contact us now to schedule your first appointment or to learn more.

(802) 272-7186

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