Clinic Forms


New Patients: Please print and fill out these forms to bring with you on your first visit:


New Patient Health History: New Patient Health History Form

New Patient Welcome Packet: Welcome to My Practice

New Patient Tips: New Patient Commitment Form

Consent Form: Malpractice Form

Notice of Privacy Policy:  Notice of Privacy Policy

Acknowledgement of Privacy Policy:  Acknowledgement of Privacy Policy

State of California Consumers Guide: Consumers Guide to Acupuncture and Oriental Medicine

My eBook:  How to Thrive in the Modern World – By Mary Mees LAc DAOM