After making an appointment in our clinic, please download and fill out the appropriate forms below. If you are not able to download the forms we are happy to mail them to you.

• Patient health history form- word document
• Patient health history form- pdf document
• New patient information sheet- word document
• New patient information sheet- pdf document
• Fertility treatment history- word document
• Fertility treatment history- pdf document
• Basal Body Temperature Charts- word document
• Basal Body Temperature Charts- pdf document
• Weekly diet and exercise form -word document
• Weekly diet and exercise form -pdf document
• Three day diet and exercise form -word document
• Three day diet and exercise form -pdf document

Art Mandalas

Below are the color mandalas used in the Integrative Mandala Acupuncture classes. Please feel free to download them by clicking on the images.

Healing Mandala

Front Hara Mandala

Back Hara Mandala

Pulse Mandala

Women's Physiology Mandala