PATIENT INTAKE FORMS:
Please take a few minutes to review these forms and fill them out prior to your first visit. You should fill out and submit the health history form online before your visit, and bring the rest of the completed forms to the office with you.
- New Patient Health History Form (fill out online and submit)
- Traditional Acupuncture Information and Consent to Services (fill out online and submit)
- Informed Consent for Traditional Facial Acupuncture (fill out online and submit)
- COVID-19 Letter to Patients (please download or print this PDF for your files)
- COVID-19 Release Form (fill out online and submit)
- HIPAA Privacy Policy Notice (please download or print this PDF for your files)