Download New Patient Form

  • Please download, print out and fill out the form. Bring the completed form in your first visit.
  • You can fill out this PDF fillabe form in your computer and email the completed form to info@AcupunctureForHealthcare.com. You can sign electrically or sign in your first visit. 
  • If you need to complete a hard copy of the form in our office, please let us know and arrive 15 minutes earlier than your appointment time.
  • A copy of Notice of Privacy Practices will be provided in clinic at a patient’s first visit. If you prefer an electronic copy of this Notice of Privacy Practices you can download a copy from here.

Download  Notice of Privacy Practices

Download The Form for  COVID 19 INFORMED CONSENT TO TREAT