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Please complete the medical form prior to your first appointment. 

This will give us more time for actual treatment during our first meeting.

Complete electronically using the online form or download using the link below and return by email to:

paulacreasy@gmail.com

Medical History and Intake Form

Paula Macklin Creasy Acupuncture

Have you ever had acupuncture before?
Have you ever suffered with the following? Please select all that apply.
Eye health:
Ear health
Body temperature?
Bowels:
Urine
Pacemaker fitted?

Thanks for submitting!

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