Brielle Hills Professional Center = 2640 Highway 70 = Building 5, Suite 101 = Manasquan, NJ 08736

732-547-3395

New Patients

For your convenience, these forms are provided so that you may fill them out prior to your first appointment with your practitioner. Please click on the links below and print out these forms.

Intake Forms for Women:

• Acupuncture Initial Intake Form

• Massage Initial Intake Form

• Women’s Fertility History

• Women’s Body Temperature Form

• Acupuncture/Massage Therapy Consent

 Intake Forms for Men:

• Acupuncture Initial Intake Form

• Massage Initial Intake Form

• Men’s Fertility History Form

• Acupuncture/Massage Therapy Consent

Booking Appointments

All treatments are performed by licensed/insured, highly trained therapists.

• Although we will try to accommodate same day requests, it is recommended that you book your appointment 3-7 days prior to assure you receive day/time preference.

• No massage services are performed in the 1st Trimester of pregnancy.

• In some cases, you may need a doctor's approval for service (for example, high risk pregnancies).

• We reserve the right to refuse treatment to any client who presents health issues that would be contraindicated to massage and acupuncture.

• Prices are subject to change without notice. Booking an appointment or buying a gift certificate locks in the current rate.

• A credit card is needed to book your appointment.

Gift Certificates

• Please provide 24 hours notice of cancellation.  Should you cancel your appointment within less than 24 hour notice, you will be responsible for the full fee.

• If you have a gift certificate and you do not provide 24 hour cancellation for your scheduled appointment, your certificate may not be used for a future visit.

• All prices do not include gratuity.

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