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
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Christina Jackson, DAHM, AEMP, LAc Acupuncture Tacoma I Union Wellness I 711 St Helens Ave. Suite 103B I Tacoma, WA 98402 I phone: 253-780-2006 Acupuncture Issaquah I 120 1st Ave NW I Issaquah, WA 98027 phone: 425-557-9519 Contact Us |