Acupuncture - Chinese Medicine - Holistic Healing - Natural Healing - Wilmington - North Carolina

Download and print these forms prior to your first office visit.
If you prefer, forms can be mailed to you, call (910) 798-8181 to receive a welcome packet.

For Acupuncture:		Adobe Reader: Click here to get Adobe Reader to read .pdf files.
Patient information sheet*	.pdf
Patient consent form*	.pdf
Acknowledge Receipt of Privacy Practices*	.pdf
*Required for 1st visit

Infertility Sheets:
Basal Body Temperature (BBT) chart	.pdf
Article on taking your Basal Body Temperature

For Stop Smoking Acupuncture:
Stop Smoking Patient information sheet	.pdf
Patient consent form* *Required for 1st visit	.pdf

For your information:
Self Assessment Profile	.pdf
Notice of privacy practices	.pdf
Know Your Acupuncturist	.pdf