Patient Forms

Forms to Bring to Your First Appointment

Ahead of your first appointment, all New Patients should download and fill out the Privacy Practices Notice, Mandatory Disclosure, Treatment Consent, and Health History.

Additionally, if you are going to receive Cosmetic Acupuncture please download and fill out the Cosmetic Acupuncture Consent Form, Disclaimer Statement, and Photo Consent Form.

Unless you want to learn the exercises, it’s not mandatory to download the 8 Pieces Brocade form.

Download the documents by clicking on the links below:

General Patient Forms

Privacy Practices Noticepaperwork-meme

Mandatory Disclosure

General Treatment Consent

Patient Health History

8 Pieces Brocade

 

Additional Cosmetic Acupuncture Forms

Cosmetic Acupuncture Consent Form

Cosmetic Acupuncture Disclaimer Statement

Cosmetic Acupuncture Photographic Consent Form