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703-677-1522

FullCircleDAOM@gmail.com
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FullCircle Acupuncture HealthCentreFullCircle Acupuncture HealthCentre
FullCircle Acupuncture HealthCentreFullCircle Acupuncture HealthCentre
  • HOME
  • ABOUT
  • SERVICES
    • Treatments Offered
      • HealthyLongevity©
        • Nutrition
          • Fasting & Detox
        • Insomnia
        • Osteoporosis
        • Smoking Cessation
        • Stress
          • DeepMeditation©
          • Kundalini Yoga
        • Supplements
        • Metabolic Syndrome
          • Type II Diabetes
          • Hypertension
          • Obesity
      • Arthritis
        • Gout
      • Low Back Pain
        • Sciatica
      • Men’s Health
      • Miscellaneous Ailments
        • Carpal Tunnel Syndrome
        • Chronic Fatigue Syndrome
        • Fibromyalgia
        • Frozen Shoulder
        • PTSD
        • Tennis Elbow
    • Treatment Methods
      • Acupuncture Overview
        • Fundamentals of Acupuncture
        • How Does It Work?
        • Types of Acupuncture
      • Moxibustion
      • Herbal Medicine
      • Cupping & Guasha
      • Qigong
      • Reflexology
  • PATIENT
    • New Patient
    • Paperwork
    • Insurance
    • Fee Schedule
  • HISTORY
  • SHOP
  • BLOG
  • CONTACT
  • BOOK APPOINTMENT

NEW PATIENT PAPERWORK

Please print all the forms and fill them out. The HIPAA document is for you to keep.
Everything else is to be returned to us. Thank you.

NEW PATIENT PROFILE

HIPAA

ACKNOWLEDGEMENT OF HIPAA RECEIPT

TCM INFORMED CONSENT

COVID-19 INFORMED CONSENT

COUGH FORM

QIGONG INFORMED CONSENT

READY TO QUIT

Links

New Patient | Login
Patient Paperwork
Insurance
Book Appointment
Shop
FullCircleDAOM@gmail.com
Contact Us

CONTENT

About                                                                                     Fibromyalgia                                                              Type II Diabetes
Chinese Medicine                                                             Frozen Shoulder                                                        Hypertension
Arthritis                                                                                 PTSD                                                                              Obesity
Gout                                                                                       Tennis Elbow                                                              Supplements
Metabolic Syndrome                                                       Sciatica                                                                         Moxibustion
Carpal Tunnel Syndrome                                              Insomnia                                                                       Herbal Medicine
Chronic Fatigue Syndrome                                          Osteoporosis                                                               Qigong

 

 

FullCircle Acupuncture HealthCentre | 3600 Sweethorn Court, Fairfax, VA 22033 | Ground Floor | 703-677-1522

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