410.266.9370
645 Ridgely Avenue Annapolis, MD 21401

Forms

New acupuncture patients, you will need Patient Registration Form,  Comprehensive Acupuncture Questionnaire, Consent to Treatment and Privacy Practices. The Insurance Verification Form is for patients seeing Peter Marinakis and Clemency Knox. Please contact your insurance company, before your meeting, to confirm acupuncture coverage. If treatment is covered, bring the form to your first visit.

Download Intake Forms below:

Comprehensive Acupuncture Questionnaire

Consent to Treatment Form

Facial Rejuvenation and Acupuncture
Informationand Agreement Form

Patient Registration Form

Privacy Practices

Thermography Forms

Insurance Form

Testimonials

"I am a mother of 4 active children. Their sports--gymnastics, ice hockey, soccer and rugby--are all high impact and inevitably result in fractures, sprains and muscle trauma. Acupuncture speeds the recovery time and always increases...

– PK

Online Pharmacy

Healthwave

Purchase products through our HealthWave virtual dispensary.