Plum Blossom Acupuncture Clinic

New Patients

For your convenience, these forms are provided so that you may fill them out in advance and bring them with you to your first appointment with the practitioner. Please click on the links below and print out these forms.

Informed Consent Forms

Health History Form

If you are a New Patient seeking treatment for fertility, please fill out this form in addition to the other two:
Fertility Health History Form