Affordable. Safe. Effective.  
302 N. Goodman Street, Suite 403, Rochester NY 14607 | 585.287.5183   

rochester community acupuncture

New Patient Forms

Please print, complete, and bring to your first visit! This helps keep our costs down, and makes your first visit easier!

RCA Forms
Includes the welcome letter, health history forms, financial agreement, and informed consent form.

rochester community acupuncture chop logo