Traditional Acupuncture Health Center

Please print and fill out the appropriate forms for either your initial acupuncture or massage therapy visit, and be sure to bring them with you to your appointment. All forms are in adobe .pdf format. If you don't already have the Adobe Reader program installed on your computer, you can download it free of charge by following this link: Adobe Reader

 

 

 

Initial Acupuncture Visit:

Consent Form

Health History

 

Initial Massage Therapy Visit:

Consent Form

Health History