Nurturing Spirit Acupuncture Healing ~ Growth ~ Vitality

New Patient Forms

For New Patients Booking In-Person Appointments at my Dupont Circle office

Please complete the four forms below prior to your New Patient Virtual Intake.

Health History Intake Form

Consent Form and Policies

New Patient Advisory and Acknowledgment
Regarding Receiving Acupuncture Treatment During the COVID-19 Pandemic

Notice of Privacy Practices

Telehealth Consent Form*

*Because I am now doing all new patient intake conversations virtually, all new patients will need to sign the telehealth consent form.