Forms

Welcome, New Clients!

If you would like to get started on the new client forms ahead of time please feel free to print and fill them out before your appointment or arrive 15 minutes early to fill them out in the office. You have the option of printing the Questionnaire form or filling it out online using your computer, tablet, or smartphone.

Neurofeedback Forms:

Acupuncture Forms:

The intake/signature form must be completed in addition to the adult OR child's questionnaire. 

Intake & Signature Forms

Adult Questionnaire

Child's  Questionnaire

Intake & Signature Forms

Adult Questionnaire

Child's Questionnaire


Additional (Optional) Forms:

Sensory Integration & ADHD Questionnaire:

Insomnia & Sleep Quality Questionnaire:

Female Health History Questionnaire: