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Phone

(732) 285-4184

Email

info@cNJacu.com

Address

1 Bethany Rd, Ste 83, Hazlet, NJ 07730

Central New Jersey Acupuncture & Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment. Our fax: (302) 600 – 1771
  • We provide a downloadable copy of our Notice of Privacy Policy for your review. It is just for you information, you do NOT need to print it.
download new patient form acupuncture
download new patient fertility and meses history form
download notice of privacy policy

COVID-19 PROTOCOL

Central New Jersey Acupuncture & Wellness Clinic will not be treating any known, or suspected, cases of Covid-19 in the office.  If you are sick, please wait for 2 weeks until you are symptom free before making an appointment.

If you have been exposed to someone with Covid-19 in the past 14 days, we will not be able to accept you as a patient at this time. If you have traveled outside of the US in the past 30 days we will not be able to accept you as a patient at this time.

Following are our new procedures:

  1. You will be pre-screened via phone prior to your appointment. 

  2. When you arrive at the office, please wait in your car and call the office. You will be told when it is safe to come in.

  3. Upon entering the office, you will be required to hand sanitize. We will do a quick temperature check, if you are over 100.4F, you will be asked to leave and call your doctor. Temperature checks will be done at each visit.

  4. All patients are required to wear a face covering of some kind the entire time you are in the office, for the duration of the treatment. We have masks available if you need one.

  5. You will be taken to the treatment room directly. No waiting in the waiting room.

  6. Follow up appointments can be scheduled prior to leaving the office.   You may also email info@cNJacu.com to set up your next appointment

Cleaning: 

  1. Tables are wiped down between treatments.

  2. High tough surfaces- door handles, light switches, call buttons, etc will be sanitized between patients

  3. Providers will wear masks and gloves while cleaning

  4. Alcohol based hand sanitizers are available in all rooms.

What we need from you:

  1. Please do not bring anyone with you to your appointment.

  2. Please DO NOT bring unnecessary items into the office with you, i.e., purses, bags, water bottles, iPads, etc..  The fewer items you have the less likely we will have any issues with contamination.

  3. Please DO NOT come to your appointment if you have, or have had, any cold or flu symptoms in the past 14 days, have traveled recently, or have any of the symptoms that are associated with Covid-19.   This applies if you have a household member with any symptoms.  We know that there are many silent carriers, but our goal is to minimize any exposure of known causes. Instead, call us to reschedule.

If you are uncomfortable coming to the office for any reason, we understand. 

If any of us tests positive for Covid-19, the office will be closed for 14 days, disinfected, and all patients who have been in 14 days prior will be notified.  

 

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Customer RepresentativeNEW PATIENT OFFER

New Patients Enjoy A $40 Initial Consultation Normally $240. Save $200.

Call Us 24/7 To Schedule Your Consultation:  (732)  285-4184

Or use this form and we will contact you