Patient Forms

New patients, please review and complete forms below prior to your first visit:

• Patient Information ( PDF )
• Patient Insurance Benefits ( PDF )
• General Insurance & Financial Policy ( PDF )
• Informed Consent ( PDF )
• Privacy Practices ( PDF )
• Health History ( PDF )

• All patient forms combined ( PDF )

Acupuncture patients, in addition to the forms above, please review and complete forms below:

• Acupuncture Notification ( PDF )
• Acupuncture Waiver ( PDF )

Additional forms (not required):

• Records Release ( PDF )