Patient/HIPAA Forms
When you come in for your first visit, you will need to complete forms. You can save time by downloading these forms now and completing them at home. When you come in for your visit, don't forget to bring your completed forms.
You must use Adobe Acrobat Reader 5.0 (or higher) to open our do
wnloadable pdf files.
The Reader is free to download from Adobe's website.
New Patients
Patient Information Form
Consent Form For Office Procedures
Consent Form For Office Treatment
Consent Form For Acupuncture
HIPAA Consent Form
Notice of Privacy Practices
Notice Of Information Practices
Workers Compensation Information
Men's and Women's Infertility
Patient Information Form
Basal Body Temperature (BBT) Chart
Information for BBT
Hypnosis / Guided Imagery
Stop Smoking Management
Weight Management
Facial / Skin Rejuvenation
Patient Information Form
Consent Form
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