Hyejung Hayes L.Ac.
10303 Meridian Ave N. Suite 100 Seattle, WA 98133
Tel: 206-522-1509 (office)
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New Patients

Please download the Health history form to print and complete it before your
first visit, in order to expedite the process.

Health history form (You are downloading word document)
PIP form (Additional form only for car accident patients)

If you have any question, please feel free to call Mu Tong Acupuncture and
herbs at 206-522-1509 or email at info@nomorepainforyou.com

Health History Form

PIP Insurance Form

Patient & Insurance Info Form

Notice of Privacy Practices

Patient Procedures


Ph: 206.522.1509 | 10303 Meridian Ave N. Suite 100 | Seattle, WA 98133 | Copyright HyeJung Hayes. All rights reserved.
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