Michelle Sigler Acupuncture

Clinic Forms

If you'd like, print and fill out the following forms and bring to your first visit. Otherwise, we can provide the forms for you to fill out here. Please arrive 10-15 minutes early if you're filling out paperwork at the office.

Intake Form

New patients, please print, sign and date and bring with you to first session.

Consent Form

Please print this form, complete it, and bring it along to our first session.

Clinic policies

Important information about clinic policies, services and fees.

HIPAA information

Read, print and keep for your records this Notice of Privacy Practices regarding your protected health information (PHI)

Note: To download Adobe Acrobat Reader for free, click here.