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Forms

A comprehensive medical evaluation takes place at your first appointment. Please complete the Patient Health Record form and bring it with you. This information provides critical detail that helps to develop a diagnosis and treatment plan for you.
Click here to download the form (PDF) 

Luke Tian, L.Ac., CMD
Master in TCM Oncology
Ph.D in Cancer Pharmacology 
田路加  中醫師
中醫腫瘤學碩士
西醫腫瘤學博士
966 Hungerford Drive, 
Suite 10A, 
Rockville, MD 20850
Phone: (301)309-8889
Fax: (301)309-8883
tian@LukeAcupuncture.com