345 N. Main St., Bldg. 1 Suite 10
New City, NY 10956
 Home Page

 Contact Susan

 About Acupuncture 

 Conditions Treated


 About Susan


 Initial Visit

Your Initial Visit

Please click on the following links below for the initial forms to be completed and brought in with you on your first visit:

Be sure to select "Fit to Page" in your printer settings so that it doesn't print part of the page zoomed in.

Personal Information Form

Personal Information2 Form

Symptom Survey

Things to consider before arriving for treatment

  • Make sure to eat something light an hour or two before arriving
  • Try to avoid the intake of caffeine or pain medications
  • Wear loose fitting clothes
  • Bring a list of medications you are taking

Copyright 2022, Dr. Brennan, All rights reserved
345 N. Main Street, Bldg. 1 Suite 10, New City, NY 10956
845-675-7826, sibrennan@acupunctureofrockland.com

Website by Acupuncturel-Websites.com