Intake Forms

Please print, complete, and bring the following forms to your first appointment. 

• Massage/Bodywork Intake Form-  For Myofascial Release, Massage, Reiki, Healing Touch, and Akashic Record Reading appointments.

• Financial Policy Agreement- All new clients must complete this form. 

• Acupuncture Intake Forms - Please complete the following 5 forms and bring them to your Initial Acupuncture Consultation Appointment. 

  • Health History Questionnaire

  • Consent To Treat

  • Arbitration Agreement

  • Acknowledgment of Notice of Privacy Practice (read the privacy brochure HERE)

  • Financial Policy Agreement 

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