Connecting: Client Information

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Initial Intake Forms

Please print the following forms and complete them to your best ability before your initial visit. You may provide these and any other pertinent information at your initial intake.

•  Medical History

• HIPAA 

• HIPAA Email Form

• Consent Page 1 & Consent Page 2 -Your consent form will be signed in person on the day of your visit.

• Credit Card Authorization From 

 

We appreciate having these ready beforehand so that we may have more attention and time to connect individually during your visit. 

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Cosmetic Rejuvenation Forms

In addition to the above, please print the following forms for review before your initial visit. Your consent form will be signed in person on the day of your visit. 

• Cosmetic Acupuncture Consent Form

• Photography Consent Form

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HIPAA Privacy Policy

Please review the HIPAA Privacy Policy here You may print this out and keep a copy for yourself as well. 

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Yoga Waiver

Please print and complete the following forms before your first yoga session.

• Yoga Waiver

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More Resources

Below are educational resources and follow-up information to review after your treatments:

• Discharge Instructions

• Acupressure for Facial Rejuvenation

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