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New Patient Forms

Please download and complete the forms and bring them to your first appointment.

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New Patient Forms



Facial Rejuvenation Forms

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Facial Rejuvenation Consent
Photographic Consent- Facial Rejuvenation



New Patient Forms - AcuZen Inc. in Woodmere, NY

New Patient Forms - AcuZen Inc. in Woodmere, NY    Deborah Rothman offers Acu-Zen Acupuncture in Woodmere, NY  

AcuZen Wellness Center
Dr. Deborah Rothman, DACM, L.Ac., Dipl. Ac.

Tel: (516) 203-4500
Fax: (516) 706-7004
347 Mulry Lane
Lawrence, NY 11559

By Appointment Only

Sunday: 8:00am-2:00pm
Mon,Weds,Thurs: 8:00am-6:00pm
Tues: 8:00am-8:00pm
Fri: 8:00am-12:00pm
Sat: Closed