Christina Jackson, DAHM, AEMP, LAc, Acupuncture Tacoma
  • Home
  • Meet Christina
    • Curriculum Vitae
    • Mentoring Program
    • Acupuncture
    • Chinese Herbal Medicine
  • Areas of Expertise
    • Pelvic Health and Gynecology
    • Pregnancy/postpartum >
      • Trimesters
      • Postpartum
    • Chronic health conditions
    • Preserving health and immunity
  • Appointments
  • COVID Safety
  • Patients
    • Patient Portal
    • Full Scipt Pharmacy
    • Cost and Insurance
    • Preparing For Your First Visit
    • Location
    • Contact
  • Home
  • Meet Christina
    • Curriculum Vitae
    • Mentoring Program
    • Acupuncture
    • Chinese Herbal Medicine
  • Areas of Expertise
    • Pelvic Health and Gynecology
    • Pregnancy/postpartum >
      • Trimesters
      • Postpartum
    • Chronic health conditions
    • Preserving health and immunity
  • Appointments
  • COVID Safety
  • Patients
    • Patient Portal
    • Full Scipt Pharmacy
    • Cost and Insurance
    • Preparing For Your First Visit
    • 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



All rights reserved
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

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