Forms

In order to make your first visit as smooth as possible, we have provided our intake and first visit forms. Please feel free to download these forms and complete them before your first visit. If you have any questions, please call the office and/or we will be happy to answer your questions when you visit the office.

Don’t forget to bring the completed forms to your first visit!

Health History
Questionnaire

Informed Consent for Acupuncture &
Oriental Medicine Treatment

Consent to the Use or Disclosure of
Protected Health Information