Forms

Acupuncture and Herbal Patient Forms

Patient HHQ Form

Consent to Treatment Form

Office and Financial Policy

Notice of Privacy Practices

Pediatric Patient Forms

Pediatric HHQ Form

Pediatric Consent and Office Policy

Office and Financial Policy

Notice of Privacy Practices

Quick Smoking Program

Smoking Cessation HHQ Form

Consent to Treatment Form

Office and Financial Policy

Notice of Privacy Practices

• Jill Doan, Lic.Ac.
  Suite 110
  216 E. Chatham Street
  Cary, NC 27511
  (919) 621-3363
  jilldoan@ttpacupuncture.com