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

"After each visit, I always felt better, with improved energy and a lighter feeling of well-being. Nancy, with her knowledge, expertise, and experience, presents rays of sunshine through the clouds."

"Her treatments never fail to make me feel better. Her knowledge of herbs and supplements make her treatments even more effective."

"Her work on my neck has made me able to regain full motion and live without pain."

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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