Patient Forms

Please complete the necessary form(s) and release(s) below prior to your first visit. You may email them to info@heartspringhealth.com or bring them with you to your appointment.

Please arrive 20 minutes early to fill out paperwork. It is imperative for your provider to have this information before your appointment.

Intake Forms:

Release Forms:

Even if you are not scheduled for an acupuncture appointment, it is a good idea to sign and have this agreement on file in case your provider should refer you to one of our acupuncturists.  If you do not wish to sign this form, please let our receptionist know.

Please take a moment to review our release forms. Once you have read this document, please visit the reception desk at Heart Spring Health to sign the electronic copy.

Patient Resources:

 

Please call us if you have any questions or concerns. We look forward to serving your health needs!