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J. Ragani Buegel, L.Ac.
Licensed & Board Certified
Acupuncture Therapist
(414) 292-3900 ex. 4796




New Patients

Our goal is to maintain her high quality of service to clients, and my acupuncture practice has grown mainly by word of mouth. I am always honored by your referrals, and will offer my best care to anyone who comes to me.

Please print and fill out the five (5) electronic forms below. This paperwork will take about 15-20 minutes to complete. If you are unable to download or print these documents, please contact us and we will send you copies in the mail. If you wish to fill them out at the office instead, please arrive 20 minutes early for your first visit.

FEMALE FORMS  
MALE FORMS
Welcome to
our Office
Welcome to
our Office
Informed Consent
Informed Consent
Medical History
Medical History
Pain Chart (female)
Pain Chart (male)
Financial Policy
Financial Policy
   

Your initial visit may last up to two hours, and it will include an intake interview, evaluation, and initial treatment. Subsequent visits will last one hour, and they will include a brief follow-up evaluation and treatment.

Missed or cancelled appointments with less than 24 hour notice incur a $110 fee.

If you should have any questions or wish to speak to me, feel free to call me for a complimentary phone consultation. If I am not available at the time of your call, you can leave me a message with your phone number and the best time(s) to reach you. I will call you back as soon as possible.

(414) 292-3900 ex. 4796


We accept all major credit cards.



  6789 N. Green Bay Ave., Glendale, WI 53209 414.292.3900 ex. 4796 holisticacupuncturetherapy[at]gmail.com