Forms

Dear New Patient,

You will need to fill out forms which can take anywhere between 15 to 20 minutes. Please come 20 to 30 minutes early to check in, complete forms and get settled in. You may also download and complete the forms by clicking the links of all four form below.

New Patient Intake Form Page 1

New Patient Intake Form Page 2

Informed Consent for Treatment Form

Financial Policy

 

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Ratings & Reviews


Roxborough Community Acupuncture 5 star rating
Roxborough Community Acupuncture
4.9 Stars - Based on 32 Reviews

Hours


601 Dupont St Phila, PA 19128

Monday 10 – 1 and 4 – 7 – Dave

Tuesday 10 – 1 Jessica, 2 – 6 Dave

Wednesday 4 – 7 – Dave

Thursday10 – 1 Jessica, 2 – 6 – Holly

Friday 10 – 2:30 – Dave

Sunday 4 – 6 Dave

 

Our community’s history


The "S" Bridge over the Schuylkill River at Manayunk, Philadelphia, PA, built in 1884.