Patient Portal

Handouts and Forms

 

Intake Form

If you are unable to fill out the online forms, please print this document and fill it out before your initial appointment. You can bring them with you or drop them off prior to your appointment.

INTAKE FORM LINK

Consent Forms

If you are unable to fill out the forms online, please print these documents and fill them out before your initial appointment. You can bring them with you or drop them off prior to your appointment.

INFORMED CONSENT FORM LINK

PRIVACY POLICY LINK

Facial Acupuncture Consent

A separate consent form is require for the Facial Rejuvenating Acupuncture.

FRA Consent Form