New Patient Forms

Congratulations! You have just taken the first step to better health. Please download our New Patient Forms below, fill them out and bring them to your first appointment. This will allow us to focus the entire first session on getting to know you and your history, not on paperwork. If you are unable to fill out the forms at home, you may request that we e-mail them to you or ask us to leave them for you at the front desk on the day of your first visit. It will take you about 20 minutes to fill out the forms in our office, so please plan accordingly.

Important:  Treatment cannot begin until all of your forms are received and signed.

New Patient Forms (2016)

Fertility Testing & Treatment History 2016 (fertility patients only)

If you have to change your first appointment for any reason, please give us 24 hours notice so that we can give that appointment to a patient on our waiting list.

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    EMOTIONAL HEALING & PERSONAL GROWTH

    I have been seeing Julie Permut, at New England Family Acupuncture in Peterborough NH for six weeks. I am amazed at what it has already done for me in such as short while. When I first came in I was complaining of sciatic nerve pain in my left leg and foot. And I also had breathing difficulty with sinuses. The first treatment was great and Julie spent a lot of time with me and was very thorough in getting to know me and my issues. I was hooked. I immediately noticed a big improvement after just one treatment. I look forward to each session and find that I am continually feeling better each time. So far Julie has treated my sciatica, breathing, lower back pain and a very swollen and painful knee. The treatments are very effective. She has also helped me deal with and resolve many issues from my past that have been affecting my ability to function in the present.

    But Julie is more than an acupuncturist. I would describe her as a total healer. She is teaching me how the body, mind and heart all have a role to play in our overall health and how one can help or hurt the other. At the start of each session she checks in with you to see how you are doing. She offers advice, encouragement and most important she provides understanding about what you are dealing with. I feel like I am participating in my own healing. i look forward to this time with Julie as much as the treatments. Julie is phenomenal in that she is so calm and caring. She is very knowledgeable in holistic healing and spiritual aspects of our human existence. I call her my healing angel and I have grown very fond of her and what she is doing for others.

    The acupuncture treatments are very pleasant and there is no pain from the needles. On the contrary, I feel the needles to be soothing and stress relieving. And combined with other aspects Chinese medicine and spiritual healing it is very effective at treating the whole person. I have found it has improved my whole outlook and how I am interacting with everything around me. Thanks Julie for all that you do.

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