Acupuncture and Oriental Medicine
Acupuncture Patient Forms

Below you will find links to the form(s) you will need so you can complete them in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.

New Patient Form

This let’s us know the history and current state of your health.

Complete Health History
Pain Intake Form


Disclosure Consent Form

Arvada
Denver



 

Thank you for your referrals.


When you refer a patient for an acupuncture treatment You receive 15% off of your next visit.


"My body has been put through the ringer playing rugby for the USA. Recently I hurt my back badly and was not able to return to play right away, with the help and expertise of Karla Leopold I was able to start training again and am now back on the pitch as good as new."


"I have had acupuncture many places and this is as good as it gets. They treated my hand pain after an amputation. Don't know what I would do without them. Professional and a very good setting."

 



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