~ A sea of calm ~  

From this page you can easily print the forms you will need to begin your acupuncture treatments.

You may print the first three forms,or you may arrive 20 minutes early to your first appointment and they will be provided for you.

*Parents, you may use the Pediatric  patient release form in place of the Health history form.

• Health History form
• Patient Release form
• Privacy Notice / HIPPA form

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• Pediatric patient release form

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