ACUPUNCTURE HEALTH HISTORY & TREATMENT FORMS

Are you a new patient?  If so, please complete and bring the forms below with you to our first appointment.  All responses are confidential.
         ☯    ACUPUNCTURE HEALTH HISTORY FORM  
         ☯    INFORMED CONSENT TO ACUPUNCTURE TREATMENT AND CARE
         ☯    ACKNOWLEDGMENT OF RECEIPT OF HIPPA PRIVACY NOTICE