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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.


New Patient Forms - Nurturing Spirit Acupuncture in Washington, DC, Dupont Circle


1633 Q
1633 Q St. NW, Suite 200
Washington, DC 20009
Dupont Circle Metro, Q St. exit

Office Visits:
Mondays, Wednesdays,
Thursdays & Fridays
1:00 pm - 6:30 pm

Virtual Sessions:
1:00 pm - 6:30 pm