The following Intake Form can be printed and filled out
with the proper information prior to your first visit:
*This form is in PDF format, which you can easily print. You will need Adobe Acrobat Reader, which you can download for free here:
If you would like to save the form (which you cannot do in Adobe), you can download the alternative PDF reader Foxit for free
here.
General Information on Acupuncture:
Acupuncture.com
The Official National Institute of Health Acupuncture Section:
NIH.gov/health/acupuncture
Integrative Medicine Program at Oregon Health & Science University:
OHSU.edu/cam
Oregon College of Oriental Medicine
OCOM.edu
Accreditation Commission for Acupuncture and Oriental Medicine
ACAOM.org
The Web That Has No Weaver: Understanding Chinese Medicine
by Ted J. Kaptchuk, O.M.D.
Healing With Whole Foods: Oriental Traditions and Modern Nutrition
by Paul Pitchford
SuperFoods RX: Fourteen Foods That Will Change Your Life
by Steven G. Pratt
Experience:
Certification: