Patient Forms

New Acupuncture & Chinese Medicine Patients

If possible, please kindly print and prefill the New Patient Form below and bring to your first appointment. That will help us to maximize our treatment time together. Also please bring with you any relevant medical test results, lab work, MRI reports, xrays, etc...

Download ACUPUNCTURE & CHINESE MEDICINE New Patient Form (pdf)


For Reconnective Healing® or The Reconnection®

Please use this form instead:

Download RECONNECTION New Client Form (pdf)