Registration Forms

PRINT, COMPLETE, MAIL and Email OR FAX BACK

Office Registration†

Complementary Consultation Terms and Consent†

Email / Phone / Video-Virtual Consult (Domestic Only – Overseas Patients Use Form Below )

Tibetan Medicine Consult Consent

Acupuncture Consent

Record Review Consent

International Patients Case Revire / Video / Phone / Email Registration

† Required forms for any type of consultation, in person, virtual or medical records reviews

About Insurance & Fees