Deep Springs Informed Consent:

Please sign this form 24 hours before your appointment.

You will need Adobe Acrobat Reader to be able to access this PDF for you to sign. If you don’t have Adobe Acrobat Reader you can download it from their site here. Once downloaded and installed clicking on the ‘this form’ link above should allow you to sign the document where the arrow is pointing. Once signed it will automatically be sent back to me. You will receive a copy of the form in your email. That tells you it’s also been sent to me. If this doesn’t happen (and check your spam folder too) then you haven’t completed the process. You may find it’s easier to fill in the form on a tablet or laptop rather than your phone. If you have questions or are having any issues completing this task please reach out to me via the contact form.

Acupuncture Intake Form

If you are scheduling acupuncture treatments, please fill out this Intake form in addition to the Consent form.  The intake includes your demographic information, current symptoms, and medical history.  We will review it during your first treatment session.