Printable Client Intake Forms

Inner Rivers Acupuncture Intake Forms  

If you prefer to fill out the intake forms prior to your first visit you may do so, but please do not forget to bring them with you!

Feel free to copy any medication lists or test results and bring them to your first appointment as well.

Please do not email completed form.

If you plan to fill out the forms at the time of treatment please arrive 15 to 20 minutes ahead of time and a copy of the forms will be made available for you in the wait area.