Forms

CommuniChi Forms

Dear Friend,

Please read the Welcome to CommuniChi Letter  first, as it provides essential information regarding how the clinic functions. You may wish to print this out for your reference.

Please print and fill out the Health History and Informed Consent and bring them with you to your first appointment if possible. If you don’t have a printer, or prefer, you can fill these forms out at the clinic.

Community Supported Acupuncture depends upon your support.  By helping me in this way, I have more time to focus on your health. Thank you!

Jordan


Downloadable Forms

Please Note: The forms below are pdf format and require the Adobe Reader. If you are unable to open them, you will need to download the free program here.

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