​Acupuncture Forms
Please fill out the first three for a standard appointment. 

Acupuncture :Online Initial Intake Form

MANDATORY DISCLOSURE

Online Hippa Form

Fertility Patients Only Intake

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The online insurance form is for Patients that are in network with Blue Cross/ United Healthcare for Acupuncture. 

Online Insurance Consent Form

The form below is for Auto Accidents/ Personal Injury Claims only. 

Personal Injury / Auto Injury Liability Form

Massage Therapy Forms

Massage Therapy Intake

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Meditation, Neurosculpting & Energy work Questionnaire 

Meditation & Neurosculpting ® Intake & Consent Form