New Patient Forms

If you’re a new patient, please download and complete these forms in advance of your first appointment. If you prefer, forms can be mailed to you, please call 910.798.8181 to receive a welcome packet.

• Covid-19 Questionnaire
• Confidental Patient Information Form
• Primary Contact Number
• Patient Consent to Treatment Form
• Acknowledgement of Privacy Practices

To Stop Smoking

If you’re a new patient, please download and complete these forms in advance of your first appointment.

• Stop Smoking Patient information Sheet

I’ve been struggling with headaches and joint pain for many years and have several autoimmune conditions. My gynecologist suggested I seek help from Dr. Moffett at Acupuncture Associates. After 2 visits I noticed that my daily back of my head headaches were gone! After the first treatment for my sinus headaches that discomfort was gone too. Dr. Moffett spends a lot of time with each patient to learn what is going on in your life, stresses, previous injuries, etc. I’ve also “relearned” how to use relaxation to help control my pain. The whole experience is pleasant and relaxing. This is the best money I’ve spent for my health. I would highly recommend a consultation to see if acupuncture could be helpful for you.