Please take the time to print and fill out one of the following intake forms before your visit and bring it with you to your appointment.

Regular Consent and Intake Form

Consent and Intake Form for Women's Disorders (GYN)

We also have copies of these forms in our waiting room, so if you are planning to fill them out in the clinic, please come an extra 10-15 minutes early.


Basal Body Temperature Chart


I want to again thank you for all the help you have given me with my post-menopausal symptoms. You truly have been a lifesaver to me with acupuncture and your herbal remedies. I was having such extreme symptoms that my quality of life was truly compromised, but your expert knowledge and skill has helped me feel healthy and energetic again. I am very grateful to you and I appreciate your kindness and sense of humor throughout my ordeal.

Rosemary C.