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Intake Form

For your convenience, the intake form below can be downloaded and printed. Please complete and bring the form with you to your first appointment.  - Thank You! 

719.220.4401

620 S Cascade Ave #204 Colorado Springs, CO 80903 (Downtown Colorado Springs)

Connect@fullembodimentacupuncture.com

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Copyright         2019-2025 

Full Embodiment Acupuncture
 

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