Acupuncture Forms

Original document created in Google Drive/Google Documents. The first 2 pages are the health history/intake and the 3rd page is the CONSENT FORM.

Please CLICK HERE to download the 3 pages of forms needed for your FIRST acupuncture session.


*If this document does not load as 3 pages, I suggest editing the margins and spaces BEFORE PRINTING.

© 2017 by Felicia Dyess, AP. Proudly created with

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