Initial Patient Form

Name: Paul Carter Acupuncturist & Herbalist Hervey Bay
Address: Shop 4/353 Esplanade, Scarness, QLD, 4655, AU
Telephone: +61 7 4317 4349

Your time is valuable so you have the option of filling in your initial form online. Fill in the form below and press submit. Easy.

Otherwise fill in the paper version when you arrive.

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