Intake Forms

As a new patient to Acupuncture Northwest & Associates, please complete and email the following items to our office prior to your first visit (info@acupuncturenorthwest.com). Fertility patients need to complete the fertility forms as well.

Traditional Chinese Medicine and Massage Patients:

Fertility Patients (Please also fill out these forms)

If you have any questions about completing the forms, please contact us, and we’ll be glad to assist you.