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Please complete your Patient Intake Form. Print it out and bring it with you on your first visit.

Request An Appointment with Insurance Verification

Please complete the following form to request an appointment. Your appointment and insurance verification result will be confirmed by phone by a member of our staff.

Please complete your Patient Intake Form and bring it with you on your first visit.


Lok Acupuncture Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.