New Patient Forms

Thank you for selecting Medical Acupuncture Clinic of Pittsburgh as your resource for healing and health maintenance!

To save time, please download the form below and fill it out at your convenience prior to your visit. Bring it and copies of any recent lab work or imaging reports you may have to your initial visit.

If you would like to fill out the form in our office, please come about 20 minutes early to complete it.

Patient Intake Form