Forms

Call (904) 260-2598 to schedule an appointment today  and then download and fill out the following forms and bring them with you to your first treatment:

Patients should also refer to the Notice of Privacy Practices for further reference before signing the Receipt of Privacy Practices contained within the New Patient Packet.
You are welcome to download and print these forms to fill it out before you arrive for your appointment or you may arrive 15 minutes early so that you will have the time to fill them out here in the office.

The packet is in PDF format.  You will need Adobe Reader to open these documents.  You can download Adobe Reader for free by clicking HERE.

Gretchen L. Gonzalez, A.P., D.O.M., M.S.O.M., Dipl. O.M. (NCCAOM)


Practice Location
Jacksonville Acupuncture Clinic
8855 San Jose Blvd.
Jacksonville, FL  32217
Phone: (904) 260-2598
Fax: (855) 865-7550
Email: sankihealth@gmail.com