top of page
FORMS
Layton Acupuncture offers our patient form(s) online so they can be completed in the convenience of your own home or office. 

NEW PATIENT HEALTH HISTORY FORM - REQUIRED

This lets us know the history and current state of your health. What questions, concerns, goals (regarding acupuncture) can we help you with? Let us know!

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.

  • Download the necessary form(s), print it out and fill in the required information.

  • Fax us your printed and completed form(s) or bring it with you to your appointment.

bottom of page