New Patient's Form

For all new patients, please print and complete the following forms and bring them with you to your first visit.  You only need to fill these forms once.

- Health History Form

- Treatment Consent Form

- Notice of Privacy Practices Form

Dr Nancy Chau | Wai Acupuncture & Integrative Chinese Medicine of Longwood, Florida

Wai Acupuncture & Integrative Chinese Medicine

Dr Nancy Chau | Wai Acupuncture | Longwood Florida | Community Acupuncture of Longwood

2901 West S.R. 434, Suite 141, Longwood, FL 32779

info@wai-acupuncture.com

(407) 335-4688 (office)

(407) 917-1000 (text)

Clinic hours:

Mon 12 N - 6 PM
Tues 12 N - 6 PM
Wed Closed
Thurs 12 N - 6 PM
Fri 12 N – 6 PM
Sat 9 am – 2 PM