Patient Forms
Important: Your Patient Form must be printed out and completed prior to your appointment time.
Appointments are booked on the hour. If your form is not completed or you are late, your appointment may have to be rescheduled (with charge). If it is not possible for you to print your form, then arrive 20 minutes early to your appointment and let Ellie know this. She will have a form waiting for you. Please do not email form. Thank you!
Important: Your Patient Form must be printed out and completed prior to your appointment time.
Appointments are booked on the hour. If your form is not completed or you are late, your appointment may have to be rescheduled (with charge). If it is not possible for you to print your form, then arrive 20 minutes early to your appointment and let Ellie know this. She will have a form waiting for you. Please do not email form. Thank you!
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New Patient Form - Acupuncture
This form must be completed in full prior to your appointment. Length: 8 pages. Men need only complete the first 7 pages. 
New Patient Form - Fertility (women)
Complete this form if you are coming in to be treated specifically for fertility issues. Length: 8 pages.
New Patient Form - Fertility (men)
Complete this form if you are coming in to be treated specifically for fertility issues.
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New Patient Form - Massage Therapy
Complete this form if you are only coming in for massage therapy.
Patient Form - Cosmetic Acupuncture
Complete this form if you are coming in to receive Cosmetic Acupuncture (Facial Rejuvenation).
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