Clinic Forms

Please Read: If you are able to, please fill out your Intake Forms online through our booking system. If you are unable to fill out your forms online before your appointment, we will have you fill out your Digital Intake Forms in our office.



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