New Patient Forms

Please download these forms, fill them out, and bring them with you to your first appointment.

For Initial Appointments at my Dupont Circle office

Please download the forms below:

Health History Intake Form

Consent Form and Policies

For Virtual Wellness Sessions

Established patients: please sign and initial the form below. This secure form can be filled out and submitted online.

Telehealth Consent Form for Established Patients

New patients: if you would like to discuss whether virtual sessions are the right fit for you, please set up a free phone consultation via my online scheduler .

Telehealth Consent Form for New Patients

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

The Teal Center for Therapeutic Bodywork
2:00 - 6:00 p.m.
4001 N. 9th St., Suite 230
Arlington, VA 22203
Ballston Metro

I am not taking any new patients at the Teal Center. Through August 2020 I will have occasional Tuesday availability for established patients.

1633 Q
1:30 p.m. - 6:30 p.m.
1633 Q St. NW, Suite 200
Washington, DC 20009
Dupont Circle Metro, Q St. exit

I will be resuming office visits at my Dupont office on Fridays as of July 10. More days may become available depending on demand.