ACI SUMMIT HEALTH & WELLNESS CENTER
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  • 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
    • Dr. Ke Zang, L.Ac.
    • Dr. Allison Greene, D.C., Ac.
  • Services
    • Acupuncture
    • Chinese Herbal Medicine
    • Chiropractic
    • Tui Na
    • Gua Sha
    • Cupping
    • Treatment Programs
    • Psychotherapy
  • Client Center
    • Conditions We Treat
    • Clinic Forms
    • Prices and Payment
    • Programs >
      • Fertility
  • Workshops and Classes
    • Tai Ji and Qi Gong Class
    • Master Tai Chi Workshop - Denver, CO
    • Master Tai Chi Workshop - Seattle, WA
    • Weekend Workshop: Introduction to Tai Chi for Health 1:00-5:00 pm on Saturday 2/2/2019
  • Contact
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A​cupuncture & ​Chiropractic Integrative Clinic

(720) 920-9195      info@aciclinic.com

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.
Registration
File Size: 755 kb
File Type: pdf
Download File

Pain Diagram
File Size: 635 kb
File Type: pdf
Download File

General Health Inquiry
File Size: 446 kb
File Type: pdf
Download File

Women's Health Inquiry
File Size: 457 kb
File Type: pdf
Download File

HIPAA Consent
File Size: 318 kb
File Type: pdf
Download File

Acupuncture Consent
File Size: 383 kb
File Type: pdf
Download File

Chiropractic Consent
File Size: 340 kb
File Type: pdf
Download File

Dr. Zang Disclosure Statement
File Size: 456 kb
File Type: pdf
Download File

Health Insurance Information
File Size: 278 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

Office Hours
(Winter Schedule)

If you request an appointment outside of the listed hours below, please contact us. ACI providers will work with you to provide services at your convenience.
Monday
9:00 am - 7:00 pm
Tuesday
9:00 am - 6:00 pm
Wednesday
9:00 am - 7:00 pm
Thursday
9:00 am - 6:00 pm
Friday
9:00 am - 7:00 pm
Saturday
9:00 am - 5:00 pm
Sunday
By Appointment

720-920-9195

Have questions? Or make an appointment?
​Please call or email us at
info@ACI clinic.com
Book an appointment using SetMore
  • Home
  • 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
    • Dr. Ke Zang, L.Ac.
    • Dr. Allison Greene, D.C., Ac.
  • Services
    • Acupuncture
    • Chinese Herbal Medicine
    • Chiropractic
    • Tui Na
    • Gua Sha
    • Cupping
    • Treatment Programs
    • Psychotherapy
  • Client Center
    • Conditions We Treat
    • Clinic Forms
    • Prices and Payment
    • Programs >
      • Fertility
  • Workshops and Classes
    • Tai Ji and Qi Gong Class
    • Master Tai Chi Workshop - Denver, CO
    • Master Tai Chi Workshop - Seattle, WA
    • Weekend Workshop: Introduction to Tai Chi for Health 1:00-5:00 pm on Saturday 2/2/2019
  • Contact