Patient Forms For First Appointment

Print and fill out these 3 forms.  Then, bring them with you on your first visit.

If you prefer not to print them, you can email me at erinlisewood@gmail.com stating “I AGREE TO THE TERMS & CONDITIONS OF THE ATTACHED CONSENT FORMS” and attach the forms to the email.  You might be able to fill out the intake form through Acrobat Reader, open it to “Fill & Sign” and email them back to me.  Thanks!

Acupuncture Intake

Acupuncture Consent

COVID-19 Consent

If you’d like to discuss nutrition, please fill out this 3-day food diary:

3-Day Food Diary

Advertisement

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s