Cardinale Acupuncture
  • Home
  • About Me
  • What I Treat
  • Services
    • Patient Forms
  • Locations
  • Articles
  • Contact Me!
Looking for an appointment?

In Cheektowaga, Call:
(716) 893-4664

In Jamestown, Call:
(716) 969-1862

CHET CARDINALE L.Ac, DTR

Licensed Acupuncturist and Diplomat in Chinese Herbology

New Patient Forms

Please fill out the following form or download, print and bring the completed forms with you to your first appointment.  Any questions, please contact me here.
Biographical Info - PDF
Medical History - PDF

Seeking Infertility Treatment?

Please download and complete the form using the button below.  If you have any questions, please contact me here.  
Infertility Form - PDF
To save file to your computer, Right-Click the button and select "Save Link As"
Picture
New Patient Forms
© 2015 Cardinale Acupuncture, All Rights Reserved
Website By Greyson
Thanks to Xhienne for the use of your photo!