Print, Fill out, and bring these forms to your appointment. If you do not have a printer, arrive early to fill them out at our office.

There are several more forms you will fill out at the office (informed consent, A financial agreement and Privacy release, and a Pain Index)

1: Chinese Medicine 10 Questions form + Detailed Condition Intake (2 pages) 

2: Chinese Medicine Symptoms Intake Form (2 pages) TCM Symptoms Intake Form

Privacy Policy: At your office visit you will sign an agreement to our privacy policies. Here is the full length policy. We also have a copy at our office.