unbroken flow acupuncture LLC Kendra Ward, MAOM, L.Ac. • 503.244.0500 

Forms for New Acupuncture Patients

Please print, complete, and bring these forms with you
to your initial appointment. Thank you.

Adult Health History

Consent to Treatment

Payment and Office Policies

Privacy Practices

These links are to pdf documents. If you do not have the free Adobe Reader to view and print these, you can download it here:

Site Credits:

Photography by Deni Bown in "Herbal: The Essential Guide to Herbs for Living", published by Pavilion Books, Ltd. in 2001, London.

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