Forms for new patients
Acupuncture and Chinese-herb forms
INTAKE FORM
All acupuncture and/or Chinese-herb patients need to fill out this form before their first treatment.
CONSENT TO TREAT
All acupuncture and/or Chinese-herb patients need to fill out this form before their first treatment.
CONSENT TO TREAT MINOR
This form is only for the parent or guardian of a minor patient. This form needs to be filled out before the first treatment.
DISCLOSURE FORM
All acupuncture and/or Chinese-herb patients need to fill out this form before their first treatment.
HIPPA FORM
All patients need to fill out this form before their first treatment.
PRIVACY POLICY
All patients need to read this document before the first appointment, but there is no need to print this form out unless you want to keep it for your own records.
Arvigo Techniques of Maya Abdominal Therapy forms
ARVIGO INTAKE FORM
Only Arvigo patients need to fill out this form. Acupuncture and/or Chinese-herb patients do not need to fill this out unless they are also seeking Arvigo treatments.
HIPPA FORM
All patients need to fill out this form before their first treatment.
PRIVACY POLICY
All patients need to read this document before the first appointment, but there is no need to print this form out unless you want to keep it for your own records.