Downloadable Patient Medical History Forms

For our patients' convenienence, we have provided links to download many of our more commonly used forms.

Medical History and Financial Forms

  Acupuncture Health History Form   
  Acupuncture Informed Consent Form   
  Massage Health History Form   
  Financial Agreement Form   
  Massage & Acupuncture Late Cancellation No-Show Policy   

Other Forms

  PIP Claim Info Needed   
  PIP Policy 2010   
  Notification of Privacy Policy   


For details please contact office@seattleacupuncture.com or call 206-625-1374.