The following forms are available in .pdf format for you to print and complete prior to your visit. Thank you for saving time at the registration desk!

1. Registration Form   **

2. Acknowledgment of Receipt of Privacy Notice  **

3. New Patient History Form

4. Secondary Insurance Form  (If you have a secondary insurance)

5. Acupuncture Health History Form

6. Authorization to Release Health Information (to transfer your records to or from our office)

If you have not already received one, please print a copy of our privacy notice. You will need to read this prior to signing the above acknowledgement.

Privacy Notice



**Everyone will need to complete these forms