CLient forms
It is required for new clients to complete the following forms before your first visit. You will receive a reminder email prior to your scheduled appointment. Submit your forms by responding to this email. Existing clients will only need to submit the COVID-19 screening form unless otherwise instructed. Thank you.

COVID-19 SCREENING | |
File Size: | 46 kb |
File Type: |

POLICY NOTIFICATION | |
File Size: | 85 kb |
File Type: |

GENERAL LIABILITY | |
File Size: | 48 kb |
File Type: |

HEALTH INTAKE | |
File Size: | 564 kb |
File Type: |

CONSENT FOR CUPPING & GUA SHA | |
File Size: | 61 kb |
File Type: |
If personally seeking medical insurance reimbursement, submit a referral from your healthcare provider.

PRESCRIPTION/REFERRAL | |
File Size: | 67 kb |
File Type: |