345 N. Main St., Bldg. 1 Suite 10
New City, NY 10956
     845-675-7826
   
   
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 Initial Visit

Your Initial Visit

Please click on the following links below for the initial forms to be completed and brought in with you on your first visit:

Be sure to select "Fit to Page" in your printer settings so that it doesn't print part of the page zoomed in.

Personal Information Form

Personal Information2 Form

Symptom Survey

Things to consider before arriving for treatment

  • Make sure to eat something light an hour or two before arriving
  • Try to avoid the intake of caffeine or pain medications
  • Wear loose fitting clothes
  • Bring a list of medications you are taking


Copyright 2020, Dr. Brennan, All rights reserved
345 N. Main Street, Bldg. 1 Suite 10, New City, NY 10956
845-675-7826, sibrennan@acupunctureofrockland.com

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