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Here you will find my new patient intake form that you can down load, fill out and bring to your first appointment.

Don't worry about questions you may have, just write them down and bring them in with you and we will discuss them at that time.

Also, be sure to list each of the pharmaceutical drugs you are taking, please use complete names and dosages.

Likewise list any other supplements you are taking.

It is often helpful for you to make a list of your medications and supplements on your computer where you can save them for future reference or to help you remember what you are taking and when you need to take it.

Please bring your list, handwritten or word processor created and produced with you on your first visit. This is very helpful.

Also, please read and sign the included Informed Consent For Acupuncture Form and bring that with you on your first office visit also.

It is important for you to wear comfortable appropriate clothing. By this I mean bring or wear shorts and a sleeveless top or tee shirt. I use a lot of points on the arms and legs and this will enable me to more easily and quickly access them. We have a large bathroom for changing clothing if you need to change into your shorts and shirt.

Please click here to download your pdf file copy of my new patient form

Please click here to visit my home page.

I'm Dr. Glenn Eichenauer, L'AP, OMD... Sign up to get my FREE Monthly Acupuncture And Oriental Medicine

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Here Is A Testimonial I'll Never Forget!:

"I don't care what is wrong with you...see Dr. Eichenauer. He can help you with anything. He helped me with every problem I ever presented him with.

I even had major surgery for a complete bowel obstruction and he got me back to work months faster than the hospital MDs told me was possible.

His herbal formulas worked wonders for me that time as they always do.

When I called him and told him my symptoms that night, Dr. Eichenauer was the one who told me to go straight to the emergency room right away that night when my bowel was obstructed."

J.R. Sarasota, FL

If you would like to read more about what my patients have to say about my healing abilities, please click the link below.

Read More Testimonials