In Person Acupuncture & Integrative Medicine Appointments







1: Basic Health History Intake (7 pages) health_history_intake_form

2: Basic Ayurveda Intake Form (2 pages) prakriti-vikruti-self-intake-sept2016

3: Digestion/Toxicity/Immunity Form (2 pages) Agni_Ama_Ojas_Assessment

4: Daily Routine Intake Form (1 page) Ayurveda_Daily_Routine_Intake_Form

5: 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.