top of page

sign up for newsletter

Home
About
Pediatric Acupuncture
Acupuncture
- Auricular (Ear) Acupuncture and Ear Seed
- Conditions
Community and Resources
Blog
Forms
Contact
- Newsletter
More

Use tab to navigate through the menu items.

Forms

Download our online forms to fill out before you come to your appointment to save time.

Pediatric Intake Form

Pediatric Intake Form

Consent Form

HIPPA Form

Detailed Information

Detailed Information

ORS 192 Form

New Patient

Consult

5 Elements Quiz

5 Elements Quiz

* Individual results vary. No guarantee of specific results is warranted or implied and your results will depend on many factors. Full disclaimer

bottom of page