Patient Forms


 

Patient Forms


We offer our paperwork on line so you can complete it in the convenience of your own home. Please take a moment to download our New Patient forms below prior to your first visit. If you have any questions regarding the forms, please do not hesitate to contact us.

Intake Form

Notice of Privacy Form

Informed Consent and Patient Rights Form

Acupuncture New Patient Forms

What we offer

Services

Location
Allegiant Integrative Medicine
229 North Egan Ave.
Burns, OR 97720
Phone: 541-216-5069
Fax: 541-573-7732
Office Hours

Get in touch

541-216-5069