ACUPUNCTURE FOR WOMEN'S HEALTH & FERTILITY
 

ONLINE FORMS

Follow the 3 simple steps below.

I want to ensure everything is in place to begin our work together, SO THIS IS IMPORTANT. All applicable forms must be completed and submitted at least 48 hours prior to your first visit, or your appointment will need to be rescheduled. I encourage you to complete them as early as possible with as much detail as possible. I love early and details!

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COMPLETE THE CONSENT FORMS

Approximately 5 minutes.

 

COMPLETE Just 1 INTAKE FORM

New Patient Intake approximately 30 - 45 minutes.
Others approximately 10 - 15 minutes each.

 
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Complete Any Additional Forms Applicable to your history

Approximately 10 - 15 minutes each.

 

Arbitration Form

So despite all my efforts to go paperless, my malpractice insurance company still requires a good old-fashioned signed paper copy of their arbitration agreement. Here's a sample if you want to look it over ahead of time. Otherwise this is just to let you know there will be one additional form I'll have you sign in person at your first visit.