top of page

Patient Forms

Please click the button below to print and then complete the intake form and bring it with you on your first visit. Thank you!

asny-logo-blue2

© 2022, Amy Benac, M.S., L.Ac., All rights reserved.
PO Box 66, New Paltz, NY 12561, (845) 750-9686

Hudson Valley women in business member logo
bottom of page