ASHLEY KUPER, L.AC.

  • Welcome
  • Our Services
    • Acupuncture
    • Herbal Medicine
    • Nutrition
  • Cosmetic Acupuncture
  • Fertility+Women's Health
  • Your First Visit
    • FAQ + Policies
    • Patient Forms
    • Book Appointment
  • Resources
    • Blog
    • Testimonials
    • Events
    • Recipes
  • Contact
  • Welcome
  • Our Services
    • Acupuncture
    • Herbal Medicine
    • Nutrition
  • Cosmetic Acupuncture
  • Fertility+Women's Health
  • Your First Visit
    • FAQ + Policies
    • Patient Forms
    • Book Appointment
  • Resources
    • Blog
    • Testimonials
    • Events
    • Recipes
  • Contact

New Patient Forms 

Successful health care and preventative medicine are only possible when the practitioner has a complete understanding of the patient physically, mentally and emotionally.  Please complete the attached documents as thoroughly as possible.  All your answers will be held absolutely confidential.  If you have questions, please ask.  We will also discuss these questions on the first visit. 

 

Initial Paperwork (Non-Fertility Patient)  

eawb_new_patient_forms_.pdf
File Size: 1363 kb
File Type: pdf
Download File

Fertility Paperwork 

eawb_fertilityfemalenewpatient.pdf
File Size: 2009 kb
File Type: pdf
Download File


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