Forms

The following forms are designed to help us work together more easily:

Intended Outcomes Form
This form will help you clarify your goals for your overall health and vitality, including our time together.


Client Intake Form
If you are a first-time client, please print this form, complete it, and bring it along to our first session.

Note: To download Adobe Acrobat Reader for free, click here

WHAT PATIENT’S SAY

“I have been receiving acupuncture treatments for approximately 4 years. I initially began treatment for a skin issue that I had not been able to receive relief for with tradition medicine. Having a background in healthcare I was skeptical about alternative medicine but had exhausted all treatment options...”

- AA, Hershey

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CONTACT ME

Cell: (717) 303-8579
FAX: (717) 236-4354

Address:
2837 N. Front St.
Suite 101
Harrisburg, PA 17110