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Patient Registration and Health Information Forms

These two forms need to be completed before seeing Dr. Wen Guo, plus bring all medicine you take along health record if possible.

1. New Patient Registration Form

You need to complete this form with demographic and insurance information

2. New Patient Healthcare Information

In order to provide the best possible healthcare, I need to completely understand your physical, mental and emotional condition.

  • Physical Information

    This includes height, weight now and any change in last year, any hospital visit, surgeries and medical history...
  • Mental Information

    This inclueds mental information, major stresss in life, major changes affect or concern you...
  • Emotion information

    This includes your health concerns, friend and family support, enviroments...

Acupuncture Brochure

Click to view and download acupuncture brochure

Testimony

To see details of patient testimony click here.

    Click Here to see more details