Restorative Acupuncture

Helpful Forms

imageThe following forms are designed to help us work together more easily.  Please print and fill them out prior to your appointment.

A $50 deposit is required for any new appointments and will be applied to your treatment.

Cancellations must be made 24hrs prior to the appointment for full refund.

Deposit refunds  will not be honored if a patient no shows nor cancels within 24hrs of the scheduled appointment.


New Patient Forms


New Patient Forms

Health Questionaire

Intended Outcomes Form

This form will help you clarify your goals for your overall health and vitality, including our time together.

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