Patient Forms

A comprehensive medical evaluation takes place at your first appointment.  Please complete the Health History Questionnaire and bring it with you.  This information provides critical detail that helps to develop a diagnosis and treatment plan for you.
 Click here to download the form (.pdf)

Robert P. Surabian, M.Ac.
Licensed Acupuncturist

 

Mercantile Wharf Building
107 Atlantic Ave 
Boston, MA  02110
robert@BostonHarborAcupuncture.com
617-293-9829

 

 By appointment only
Tuesday 11 - 7
Wednesday 11 - 7
  Thursday 11 - 7