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Professional, Licensed by The Texas Medical Board, Acupuncturist

Click to Call Now (713) 993-6336

ALL TREATMENTS BY APPOINTMENT ONLY PLEASE

Please Call, Text or Email.

I Will Contact You to Confirm Your Appointment As Soon As Possible.

(713) 993-6336

 houstonmobileacupuncture@gmail.com

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PATIENT FORMS

Please click on each of 6 buttons below, download and save. Please fill out and complete all appropriate forms and either print it out to hand in during your appointment or electronically fill in your details and email it back to us at houstonmobileacupuncture@gmail.com.

* Please note that the formatting may be altered on your computer if you use the Word document. For clean formatting, please choose the PDF form to print it yourself and hand it to us completed.

Evaluation by a Physician
Informed Consent
Patient Intake Form
HIPAA Privacy Form
New Patient Information
Consent to Treat a Minor
Testimonials

WHAT PEOPLE SAY ABOUT US

“​Rick is a truly dedicated health professional who loves what he does, and most importantly, he makes a difference in people’s lives.​”
Rose S.
Our Special Offer

Receive treatment where you are most comfortable.

Evening and weekend appointments available.

Call Today! (713) 993-6336