Point of Origin Acupuncture - Fertility Evaluation

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Valley Office 12211 E. Broadway Spokane Valley, WA 99206 Ph: (509) 928-2777 Fax: (509) 928-2778 Downtown Location 922 S Cowley St Suite No. 3 Spokane WA 99202 Coleen Smith RN, BN, LAc, DipNCCAOM OM,CH,AC, MAOM,FABORM Seth Popham LAc DipNCCAOM AC, CH, CCHM, MSAc

Point Of Origin

The following forms have the wrong address on them. Please note we are located at 12211 East Broadway Suite 2-3. Spokane Valley

Point of Origin Acupuncture

Fertility Evaluation

Patient Information Form

Medical History Form

Women's Fertility History page 1

Women's Fertility History page 2

Men's Fertility History Form

Point of Origin Acupuncture

Point of Origin Acupuncture

Point of Origin Acupuncture

Point of Origin Acupuncture

Yellow Page Directory

Yellow Page Directory

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