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Forms

If you wish to fill in, save and send these files electronically use this free program www.nitroreader.com 

New Client Forms - If you are a new client, please print these and fill them out in their entirety. Note that the Acupuncture Consent to Treat form is required for consults even if you don't wish to receive acupuncture. You may bring these with you to your appointment or send them ahead by fax or email.

Hair Tissue Mineral Analysis - Lab request form and home sample kit with instructions.

Lyme Study Forms
Form 1 – Comprehensive Lyme Symptom Inventory (CLSI) Fill In Form
Form 2 – Acupuncturist / Practitioner Tongue & Pulse diagnosis Fill In Form