ACI SUMMIT HEALTH & WELLNESS CENTER
  • ACI
  • 中文
    • 臧医生及医馆简介
    • 臧医生医馆治疗收费标准
    • 归一太极拳馆
    • 健康养生常识 >
      • 健康养生常识:“食物相克”?? 看看营养学专家如何说
  • Providers
    • Ke Zang, L.Ac.
    • Brittini Harper, L.Ac.
    • Services >
      • Acupuncture
      • Chinese Herbal Medicine
      • Tui Na
      • Gua Sha
      • Cupping
  • ACI Wellness Membership
  • Client Center
    • Conditions We Treat
    • Clinic Forms
    • Prices and Payment
    • Fertility
  • Contact
  • Shop
ACI Membership - Free Monthly Treatment
CLICK TO LEARN HOW TO BECOME A MEMBER
Book an appointment using SetMore

ACI Clinic Forms

Below are ACI Clinic forms. Please download and complete the forms before your first appointment. You may send the forms via email or bring them with you at your appointment. If it is not convenient for you to download the forms, please arrive 15 minutes earlier and complete the forms at the front desk of ACI Clinic.
ACI Registration
File Size: 1073 kb
File Type: pdf
Download File

Pain Diagram
File Size: 605 kb
File Type: pdf
Download File

General Health Inquiry
File Size: 436 kb
File Type: pdf
Download File

Women's Health Inquiry
File Size: 477 kb
File Type: pdf
Download File

Car Accident Intake Form
File Size: 347 kb
File Type: pdf
Download File

ACI Clinic Address

​6851 S Holly Cir, Ste 180
Centennial, CO 80112
Patient visits by appointment only!

Office Hours

Monday
By appointment
5:00 pm - 7:30 pm
Tuesday
9:00 am - 1:30 pm
4:00 pm - 7:30 pm
Wednesday
9:00 am - 1:30 pm
4:00 pm - 7:30 pm
Thursday
9:00 am - 1:30 pm
4:00 pm - 7:30 pm
Friday
8:00 am - 6:00 pm
By appointment
Saturday
9:00 am - 1:30 pm
By appointment
Sunday
By appointment
By appointment

720-920-9195

Have questions? Or make an appointment?
​Please call or email us at
info@ACIclinic.com
Book an appointment using SetMore
  • ACI
  • 中文
    • 臧医生及医馆简介
    • 臧医生医馆治疗收费标准
    • 归一太极拳馆
    • 健康养生常识 >
      • 健康养生常识:“食物相克”?? 看看营养学专家如何说
  • Providers
    • Ke Zang, L.Ac.
    • Brittini Harper, L.Ac.
    • Services >
      • Acupuncture
      • Chinese Herbal Medicine
      • Tui Na
      • Gua Sha
      • Cupping
  • ACI Wellness Membership
  • Client Center
    • Conditions We Treat
    • Clinic Forms
    • Prices and Payment
    • Fertility
  • Contact
  • Shop