New Patient Forms

Please print and fill out the following documents  before coming in for your first treatment. If you do not have access to a printer you can come in early and fill out the forms in the clinic. If you find a section of the Health History form that you do not feel comfortable answering, do not worry! Just skip over it.

We want you to feel as comfortable as possible! Please keep in mind however that Acupuncture and Chinese Medicine encompasses the entire body and mind, not just the symptoms presented by an individual, and all of the background information addressed in the health history form is important in determining the best treatment strategy possible for you and your unique presentations.

Acupuncture Health History and Consent to Treat Form

Nutrition Health History and Consent to Treat Form

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