Dalphin Acupuncture Wellness, AAHA, ACW Forms

For Ruth Dalphin, (M.M., L.Ac., Dipl. Ac. (NCCAOM))

Forms Page




Forms:

Please print and fill out the following three forms for your first visit.

Intake


Privacy


Informed Consent



If you are visiting the Community Clinic only, the following form is all that is needed.

Community Clinic



Call:

(856) 985-8320

for an appointment.

results

"I have successfully treated patients with back pain, headache, tendonitis, sciatica, arthritis, anxiety, depression, digestive and eliminative issues, chronic fatigue, infertility, PMS, menstrual and menopausal issues, common cold, allergies, asthma and many other common and uncommon ailments."

Phone: (856) 985-8320




The Pavilions at Greentree
Suite 306

651 Route 73 North,
Marlton, NJ 08053

(856) 985-8320

Our office is located between Holtec Drive West and Route 73. It is directly across from the AMC movie theatre. Park on either the Rte. 73 side or the Holtec Drive side. Walk into the center of the courtyard to Suite 306.



ACUPUNCTURE CLINIC

An effective introduction to the wealth of Chinese medicine.
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