New Patients at Animals in Balance Acupuncture

Patient History Form

Thank you for your interest in veterinary alternative medicine. Please take a few minutes to complete the information below prior to your first visit.

Please be sure to ask your veterinarian to email your pet’s medical records to info@animalsinbalance.net prior to your visit.

Patient History


Please indicate the characteristics that best describe your pet.
Tell us a bit about their likes and dislikes.