AcuMeridian Wellness Acupuncture & Herbal Medicine Clinic

420 Rt34, Suite 317, NJ 07722

(Within Holistic Healing Center at Colts Neck Shopping Center)

Phone: (732) 858-1322 Fax: (855) 755- 7778

Acupuncture at Colts Neck, Monmouth County, New Jersey

Call Us:  732-858-1322

For appointment, please call (732)858-1322

Acupuncture & Herbal Medicine

AcuMeridian Wellness 

New Patient Forms


Completing the necessary paperwork in advance helps to shorten the time of the first office visit:


For new patient, please fill out the forms in the New Patient Registration packageand bring the

forms with you. The forms can be filled out online and then print out and signed.


If your insurance covers acupuncture treatment, please gather the information on this Insurance Verification Template and bring the printed template as well as your insurance ID card with you.


For new facial rejuvenation acupuncture patient, please fill out the forms in the Facial Patient Registration package and bring them with you.