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Step 1:

Fill out initial intake

form (2 pages) -------------->

填写新的文书工作 ---------->

Non-Office/ Out of state visit:

To seek herbal treatment with our physicians, please fill out the following.

All VBR and 回診單 can be faxed back to (321) 454-9974 or emailed to nisacupuncturecenter@gmail.com.​
​*请email 回診單到 nisacupuncturecenter@gmail.com

To order our HT series of pills, please fill out the following paperwork and email/fax back to us.  

Step 2:

Fill out symptoms

questionaire 3 pages)-------->

Once you click submit on both forms, you will receive an email stating we have received both and will set up a phone consultation if needed.  

 

To do a follow up with your current treatment, please visit 

Online VBR to fill out your current symptoms.

Step 1:

Fill out initial intake

form (2 pages) -------------->

Physical 

Forms ------->

Office Visit:

To see one of our physicians in person please fill out the following.

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