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An Medi-Zen

Our forms are available below to make your appointment seamless.  Click on the titles below to open the form.


Please answer the questions to the best of your ability.

You can submit online or email the completed forms back to us at: or bring them with you to your appointment. 

Let us know if you have questions or require further assistance to complete the intake forms.


An Medi-Zen:  Changing How
You See & Experience Medicine


If you don't know where to start, click here to learn more FAQs about Acupuncture, or what to expect at your first TCM appointment.

An Medi-Zen 

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