FORMS & NEWSLETTER

To complete the New Patient Form online, please click on the image below. You will be redirected to www.PDFescape.com.

Please complete all four (4) pages and then submit this form at least 12 hours before your first visit to
"In Balance Acupuncture".

Please complete all 4 pages!

Gary 'JB' Baranzini, L.Ac.	Sung Kim, L.Ac.