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


Hours:
River City Outpost,
4414 Main St, Philadelphia, PA 19127 (2nd floor – 1 flight of stairs)
Monday 10 -1 and 4 – 7 – Dave
Wednesday 1 to 4 – Dave
Friday 10 – 2:30 – Dave

and

601 Dupont St Phila, PA 19128 (no stairs)
Tuesday 12 to 6 –  Dave
Thursday 2 to 6 – Holly

 

Our community’s history


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