Clinic Forms

New Patients: Print and fill out this form to speed up the intake process during your first visit.

New Patient Health History Form (PDF, Adobe Reader required)

 

All New Patients Please Print & Sign the following forms:

Cloud 9 Notice of Patient Privacy Policy- For Your Records

Cloud 9 Cancellation Policy – Please Print & Sign

 

For Our Fertility Patients Only:   Fertility Intake Form

 

For Our Facial Rejuvenation Patients Only: Facial Rejuvenation Acupuncture Consent Form