CHARLOTTE ACUPUNCTURE THERAPY
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New Client Forms


​The Informed Consent Form obtains your permission to be treated as a patient and advises you of possible side effects from various treatments that are available in this clinic.
Download Consent Form
The Notice of Privacy Form explains the process of  accessing and releasing your private health information.
Download Notice of Privacy Form
The Health History Form gives a detailed picture of your health throughout your life. The Symptoms Checklist will help me understand your condition and create your treatment plan.
Download the Health Hisory Form

 Charlotte Acupuncture Therapy

     704-651-9585 

   4919 Unionville-Indian Trail Rd. W, #204
     Indian Trail, NC 28079

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Proudly serving the greater Charlotte metropolitan area, including Matthews, Indian Trail, Mint Hill, Monroe.
We offer acupuncture, cupping and other techniques of Chinese Medicine to address physical and emotional harmony, pain, headaches, anxiety, infertility, allergies, insomnia, digestive issues, facial cosmetic needs, and many other health concerns.  

  • Home
  • Services
  • Office Visit & Rates
  • FAQ
  • Meet Tamara
  • Testimonials
  • Blog
  • Contact