Patient Forms

Holistic Consult, Acupuncture & Chinese / Natural Medicine 
​PATIENTS

To help maximize your treatment time with Dr. E, please kindly print and prefill the New Patient Form below and bring to your first appointment.  
​Also please bring with you any relevant medical test results, lab work, MRI reports, xrays, etc...

Download New Patient Form

For Acupuncture &
Chinese/Natural ​Medicine Patients

Reconnective Healing® or
The Reconnection® 
​CLIENTS

If possible, before your RH/Reconnection appointment, please kindly print and prefill the New Client Form below and bring to your first session. 

Download New Client Form

For Reconnective Healing® or
​The Reconnection® Clients Only