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Glynn Pellagrino, Lic. Ac.

Acupuncture & Traditional Chinese Medicine

Forms

Please download these forms. Complete them and bring them to your first appointment.

Glynn Pellagrino, Informed Consent Form

Glynn Pellagrino, Policy Statement

Glynn Pellagrino, Consent for Purposes of Treatment

Glynn Pellagrino, Confidential Health History Form

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