New Patient Forms
New Patients: Please complete all new patient questionnaires through the patient portal. When you scheduled your initial appointment, you should have received an email inviting you to create an account on the portal. Do not print and complete these forms unless you cannot complete them through the portal.
Adult Intake | |
File Size: | 243 kb |
File Type: |
Pediatric Intake | |
File Size: | 229 kb |
File Type: |
Acupuncture Intake / Informed Consent | |
File Size: | 89 kb |
File Type: |
Informed Consents | |
File Size: | 84 kb |
File Type: |
Policies and Financial Agreement | |
File Size: | 119 kb |
File Type: |
Card on File Authorization | |
File Size: | 76 kb |
File Type: |
Notice of Privacy Practices | |
File Size: | 267 kb |
File Type: |
Other Forms
Records Release | |
File Size: | 51 kb |
File Type: |
Card on File instructions for ChARM patient portal | |
File Size: | 190 kb |
File Type: |