Clients

diane-chase-acupuncturist

Hello…I very much look forward to your First Visit here at Synergy Acupuncture & Integrative Wellness Solutions!

After you schedule your appointment below, please follow the instructions to submit your New Patient Health History form. This will save some time with your first appointment.   See you then!

 

 

Here is where you will find a downloadable version of the health history form that will be needed for your initial visit.  Also, as an option you may complete this health history electronically by following the lead below.

New Patients: Print and fill out this Health History form,   If you are able to mail it, or drop off prior to your first appointment, this will speed up the process of your intake and save us time.

 

New Patient Health History Form (PDF, Adobe Reader required)

Please complete this form with as much detail as possible even if you don’t think it applies to your current health concerns.  This allows me to develop your personalized treatment plan and TCM diagnosis.

Here is where you can complete your Health History electronically. Simply click on the “Portal” tab.  You will need to register with a personal username and password to access and submit your personal information. This keeps your private information Private.