ONLINE FORMS
Health and Beauty Acupuncture offers our patient form(s) online so they can be completed in the convenience of your own home or office. 
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.

  • Download the necessary form(s), print it out and fill in the required information.

  • Fax us your printed and completed form(s) or bring it with you to your appointment.

NEW PATIENT HEALTH HISTORY FORM - REQUIRED

This lets us know the history and current state of your health. What questions, concerns, goals (regarding acupuncture) can we help you with? Let us know!

Download & Print Form

Layton Acupuncture 

1916 N. Layton Hills Parkway, Ste 270 Layton, UT  84041

Phone: 801-776-4711   Call or Text: 801-414-8919