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Intake Forms
The following files are in PDF format. You will need Adobe Acrobat Reader or similar software to download and print these files. If you do not already own a copy of Adobe Acrobat Reader, you may download a free copy here.

If you’d like you can download the Health History form and fill it out before you come in. This allows more time for discussion and treatment. You may download the form here.

Privacy Policy – You may view or download a hard copy of our privacy policy online via the following link. You will be asked to sign an acknowledgement that you have read this or been offered the chance to read this before your first office visit. To view or download the privacy policy click here.

Massachusetts Cities & Towns Served: Reading, North Reading, Wakefield, Woburn, Burlington, Andover, North Andover, Stoneham, Winchester, Billerica, Medford, Melrose, Lexington, Lynnfield, Saugus, Peabody, Danvers, Lynn, Wilmington

© Copyright - Jay Guanci Acupuncture / 315 Main St, Suite 205 / READING, MA 01867 / 781.944.4800  -  Designed by SA Designs Unltd.
Massachusetts Cities & Towns Served: Reading, North Reading, Wakefield, Woburn, Burlington, Andover, North Andover, Stoneham, Winchester, Billerica, Medford, Melrose, Lexington, Lynnfield, Saugus, Peabody, Danvers, Lynn, Wilmington