Forms to Complete

Please know that taking the time to fill out the detailed New Patient Intake form thoroughly will help me in providing you excellent care. It often takes people up to 20 minutes, so I recommend not waiting until the last minute!

Please print and complete ALL five of the forms in the links below, and bring them to your first visit.

Acupuncture Treatment Forms:

New Acupuncture Patient Initial Intake Form

Consent to Receive Acupuncture Treatment

HIPAA Privacy Policy

Acknowledgment of Patient’s Rights to Privacy

2011 COLORADO MANDATORY DISCLOSURE STATEMENT Boardwalk