NEW PATIENT FORM INSTRUCTIONS

Welcome to Vital Care Acupuncture & Wellness! To ensure accurate diagnosis and effective treatment, we kindly ask all new patients to complete the New Patient Form before their first visit.

How to Complete the Form

  • Download & Fill Out Before Your Visit: [PDF Download Link]

  • Fill Out in Clinic: Please arrive 10-15 minutes early to complete the form.

Important Notes

  • Please provide as much detail as possible for an accurate diagnosis.

  • All information will be kept confidential and used only for treatment purposes.

  • If you have any questions, feel free to contact us at 213-651-9900.
    📧 Email: jmacuclinic@gmail.com

    Thank you! We look forward to supporting your journey to better health.