To submit our New Patient Intake Form online, click below:
Fill out New Patient Intake form online


To download and print New Patient Intake form, click below:
Print New Patient Intake Form


*This form is used whether you are getting an acupuncture or massage treatment. If you are a first-time massage client, feel free to answer only the questions that pertain to your concerns.


I only sell herbs + products from safe, effective herbal companies.