Cape Town @ West Beach,
@ Tokai & @ Malmesbury


072 698-1097

New Client Form

This Section Will Help You Save Some Time

Below is the new patient paperwork you will need to complete prior to your first visit with Long Trust Acupuncture & Herbs.

Printing these forms and completing them at home will mean you will not have to arrive as early to complete them in the waiting room prior to your first visit.

Please click the link below to open the file.

New Patient Registration & Past Health History

Use the links on the right to get the information you would like.

Information about the doctor and the clinic can be found on the About Page