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 To Schedule An Appointment

Please fill out and submit the form below, for faster service you may call the office directly at 978-969-0252 

Please keep in mind we are not in the office on Wednesdays.

 

New Patient Forms

Please print the "New Patient Forms" below, so that you may take your time filling them out.  It is much easier to remember things when you don't feel under pressure. 

New Patient Intake Form

New Patient Medical Intake Form

Informed Consent

Candice C. Ellis  LiAc (diplomate) NCCAOM

100 Cummings Center #321J
Beverly, MA 01915
Phone 978-969-0252
Fax  979-969-0356
e-mail care@acucandice.com