Patient Forms
At your first appointment with us, you will need to complete the following forms. To save your time and ours, you are encouraged to downloaded the forms and filled in them with your best knowledge. You may email to us (clearriverblu@gmail.com) or bring it to us at the time of appointment. If we receive your forms before your appointment, we may have a chance to exam your case prior to your arrival. Please note, your medical information is kept strictly confidential.
At your first appointment with us, you will need to complete the following forms. To save your time and ours, you are encouraged to downloaded the forms and filled in them with your best knowledge. You may email to us (clearriverblu@gmail.com) or bring it to us at the time of appointment. If we receive your forms before your appointment, we may have a chance to exam your case prior to your arrival. Please note, your medical information is kept strictly confidential.
Office Visit:
For Off Office Consultation: Please Download, Fill in, sign the following forms, and bring it to your first appointment.
- Click here to download: Consent Form
- Click here to download: Initial Visit Info Form
- Click here to download: Return patient form
For Off Office Consultation: Please Download, Fill in, sign the following forms, and bring it to your first appointment.
Copyright © since 2012, Clearriverblu Herbs & Acupuncture /Bai s Acupuncture & Herbs LLC, all rights reserved.
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Clearriverblu Herbs & Acupuncture /Bai s Acupuncture & Herbs LLC, 332 Washington Street, ste 280, Wellesley, MA. 508-330-0040
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