Please note the form is best filled out on a computer, as it is not optimized for mobile devices. Once completed, please email the documentation to info@yinandyanghealthcare.com or you can print and bring it in with you.

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Click here to access the form

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If you will need to reschedule or cancel your appointment, we request you notify us at least 24 hours in advance. Cancellations made less than 24 hours prior to your appointment will be subject to a cancellation fee.