Acupuncture and Herb Clinic

Intake Forms

The following form is designed to help us work together more easily. Please print the form, fill it out, and bring it with you to your first appointment. If you are not able to complete the form ahead of time, please arrive 15 minutes early to allow yourself time to fill it out in the office.

We are doing our part to help reduce the affect of plastic pollution. Please see attached article written by Ráven Sárá that speaks of the damage plastic is doing to us and our environment.

Intake Forms

4 Page Intake forms

Amazon Fires & Plastic Use

Amazon Fires & Plastic Use

Note: To download Adobe Acrobat Reader for free, click here.