Christina Jackson, DAHM, AEMP, LAc, Acupuncture Tacoma
  • Pain
  • Internal Medicine
  • OB/GYN
    • Pregnancy
    • Postpartum
    • Pelvic Health and Gynecology
  • Cancer Support
  • Patient Info
    • Christina Jackson, DAHM, LAc
    • Appointments
    • Cost and Insurance
    • Patient Portal
    • Full Scipt Pharmacy
    • Acupuncture
    • Chinese Herbal Medicine
    • Location
    • Contact
  • Pain
  • Internal Medicine
  • OB/GYN
    • Pregnancy
    • Postpartum
    • Pelvic Health and Gynecology
  • Cancer Support
  • Patient Info
    • Christina Jackson, DAHM, LAc
    • Appointments
    • Cost and Insurance
    • Patient Portal
    • Full Scipt Pharmacy
    • Acupuncture
    • Chinese Herbal Medicine
    • Location
    • Contact

New Patient Forms

The following two forms must be completed by all new patients. They may be printed out and completed prior to the first visit, or you may arrive 15 minutes early and complete them before your appointment.

Intake Form For New Patients

Consent Form and Privacy Policy


Other forms
Insurance Benefits Verification Forms

Patient Authorization of Medical Information Release form

BBT Chart

BBT Chart Instructions


Picture
All rights reserved |  Christina Jackson, DAHM,  LAc
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Acupuncture Tacoma I 711 St Helens Ave. Suite 103B | Tacoma, WA 98402 | ​ 253-780-2006 
Acupuncture Issaquah I 120 1st Ave NW |  Issaquah, WA 98027  | 425-557-9519
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