Forms

New Patient Forms

When calling for an appointment, my office manager, Judy, will guide you
as to which forms to print, fill out and bring with you to your first visit.

New Patient Forms

New Patient Forms and Privacy Practice

Arbitration Agreement

Patient Arbitration Agreement

Consent to Treat

Acupuncture Informed Consent to Treat

Pain Assessment Questionnaire

Pain Information Form

Breast Cancer Questionnaire

Breast Cancer Information Form

Allergy Questionnaire

Allergy Symptoms Survey Form

Client Testimonials

"With her intuitive awareness she easily identifies problems traditional medicine misses."

"I can't imagine going through cancer treatment without Nancy and acupuncture!"

"Nancy is so much more than an acupuncturist. She is a gifted and caring healer."

Welcome

I invite you to continue perusing my website and hope that you receive all that you are looking for.
You are always welcome to contact me directly with any questions that you may have.

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