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Acupuncture intake forms will be sent to you via email when you schedule online. You may also find forms by clicking the button below.


Bellingham Family Acupuncture New Patient Intake Form

Whatcom Family Acupuncture
Heather Fairall (Falkenbury), L.Ac.
(360) 305-9224

5683 2nd Ave
Ferndale, WA 98248


Click the "book now" button for online scheduling!




fax: (855) 230-4971