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  Confidential Patient Profile

To best treat your health issues it is important to understand your health history. To save time, I invite you to print and then complete (to the best of your ability) the two forms below and bring them along with you to your first appointment.

Health History and Current Symptoms. Click here to download now

New Patient Information. Click here to download now

Click Here to download the free Adobe Acrobat ReaderIf you are unable to view the two forms, please download the free Adobe Acrobat Reader by clicking on the Adobe icon to the left.

The information you provide is kept in strictest confidence.



"The obstacle is the path."
Sacred Meridian Acupuncture Sacred Meridian Acupuncture   Liza Shibata R.Ac    1052 Craigdarroch Road    Victoria, BC    250.884.9653
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