You can download these forms and fill them out and bring to our Grand Junction Acupuncture and Chinese Medicine office.

Initial Appointment Intake

This health history intake and release must be completed before the first appointment, either in the office or at home if you are able to download and print before you appointment.

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Notice of Privacy Policy

You will be asked to sign a copy of this policy at your first appointment, you may also download and/or print a copy if you wish to have more time to look it over.

Colorado Mandatory Disclosure

This document outlines Jeffrey's educational background, degress, licensure, and fee schedule.

Informed Consent and Arbitration Agreement

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