NEW PATIENT INTAKE FORMS

Because the tradition of acupuncture and herbal medicine looks at each person as a unique individual, it is important that your practitioner have a complete medical history looking into all aspects of your health going all the way back to your childhood. If you are a new patient of Jennifer Black, LAc, please download the New Patient Form (in PDF form) below, print it, fill it out and bring with you to your first appointment so that she may review it and use the information provided to inform her treatment plan for you.