Diane M. Daniels, D.Ac, LMT

 A C U P U N C T U R E

[email protected]

631-255-9970

Free Consultation

FORMS

INTAKE FORM:  Since acupuncture treatments are individualized for each patient, the more information you can provide, the better.  For your convenience, the form below can be printed & filled out before your first acupuncture appointment.

New Patient Intake Form

Aesthetic Acupuncture Form

Your Initial Consultation is Free. Come meet us in person and learn more

Special Note for COVID: If you are not comfortable coming into the office for your free consultation, we are happy to do via Zoom.  Simply let us know your preference when scheduling it.

Click Here to Request a Free Consultation

Or just call 631-255-9970 and we'll be happy to answer your questions!

*Individual results may vary. No guarantee of specific results is warranted or implied and your results will depend on many factors. (full disclaimer)