Patient Intake Form
Complete your personal and medical information before your first visit
PDF • 498 KB
Download PDFPrepare for Your First Acupuncture Visit
We're excited to help you on your healing journey! To make your first visit as smooth as possible, please download and complete the forms below before your appointment.
Please download and complete the following forms before your appointment. You can bring the completed forms with you or email them to our office.
Complete your personal and medical information before your first visit
PDF • 498 KB
Download PDFDetailed health history to help Deanna understand your unique needs
PDF • 516 KB
Download PDFPractice policies regarding payments, insurance, and appointment cancellations
PDF • 450 KB
Download PDFWelcome information and what to expect from your first visit
PDF • 136 KB
Download PDFTo help you get the most out of your first appointment, here's what to bring and how to prepare.
Complete and print your patient intake forms
Bring completed forms to your appointment
Wear comfortable, loose-fitting clothing
Eat a light meal before your appointment
Avoid wearing makeup or fragrances
Write down any questions you have
Simply click on each form link above to download the PDF. You can print them at home, fill them out with pen, or use a PDF editor on your computer or phone. If you prefer, you can also pick up paper copies at our office.
Yes, please complete the Patient Intake Form and Health History Questionnaire before your first visit. The Financial & Cancellation Policy form is for your reference, but you don't need to bring it completed.
Yes! If you prefer, you can arrive 15 minutes early for your appointment and we'll provide paper forms and a quiet space to complete them. However, completing them beforehand helps make your first visit more efficient.
Don't hesitate to call us at (410) 961-9033 or email with any questions. We're happy to help clarify any sections you're unsure about!
11 Kiker Street, Ellijay, GA 30540
563 Gainesville Hwy, Blairsville, GA 30512
Monday - Friday: 10:00 AM - 6:00 PM | Saturday & Sunday: By Appointment