These forms are for patients in our acupuncture and herbal clinics.

You may:

  1. Print forms, complete by hand, and bring to your first appointment.
  2. Download forms, open in Adobe Reader, and type in information. Then the forms can be emailed directly to your practitioner or printed, signed and brought with you. Adobe Reader is free of charge. If you do not have Adobe Reader, you can download it here.
Patient Information Form
Download the Patient Information Form
Informed Consent
Download the Patient Consent Form
Appointment reminder consent form
Download the Appointment Reminder Authorization Form
Patient Medications List Form
Download the Telehealth Consent Form
Patient Medications List Form
Download the Patient Medication List Form

Please contact us by phone at 352.548.2332 if you have any questions or difficulties.