We are so glad you are taking the steps to join us in improving your quality of life with acupuncture.

If you have any questions, please give us a call and we will be happy to help.

You can download and print out the form below. It is a typable/fillable PDF for your convenience. If you are unable to type in the form, please download and open it with the free Adobe Reader program by clicking here.
Please bring it in with you on your scheduled appointment date.

acupuncture model in front of a acupuncture signboard
Portrait of happy woman undergoing acupuncture at beauty spa
A person having acupuncture.