Patient Health Forms - Fort Lauderdale - Broward County - South Florida 33308
 

Patient Forms

Patient Health Form

Self-Assessment Health Profile

Insurance Verification Form

Asian Healing Arts Center Financial Policy

Women's Health Questionnaire

Avoid delays:
For prompt service, please download and print each of these forms. Then bring them to my office completed so that we can get started on your treatment right away.

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Asian Healing Arts Center - Dr. Marji Lee Pearson
4800 Medical Complex South
4800 N.E. 20th Terrace, Suite 201 - Fort Lauderdale, Florida 33308
(954) 772-9393

Asian Healing Arts Center provides treatment using Chinese Medicine, Aromatherapy,
Reiki and Acupuncture in Fort Lauderdale and surrounding South Florida areas

Copyright 2010 Asian Healing Arts Center. All rights reserved