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

"The moment I walk into her office I feel a sense of peace and caring."

"She is an intuitive and caring acupuncturist who has been able to open a window to the connection between my physical and emotional health in a way I never quite recognized."

"I…had a series of cortisone shots to no avail…and after seeing (Nancy) for a few weeks I'm back to work and playing golf again."

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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