The Informed Consent form gives permission for Acupuncture & Wellness of Wisconsin to provide you with treatment.

The Health History Form provides detailed history about you and your family medical history to provide Acupuncture & Wellness of Wisconsin with the information needed to treat you.

 

Now you can download and print some of your health history forms to save time in the office! 

Please click the links below to print PDF copies of the

Informed Consent, Health History Forms, Treatment Goals, and Massage Intake Form

to fill out ahead of time and bring to your initial visit.

Things to Know Before Your First Visit

•When you come in for your first visit, we will sit down to discuss your healthcare needs and then create a treatment plan together.  We will discuss the information in your Health History Forms, take a look at your diet and lifestyle, go through some simple non-invasive diagnostic tests, and then together, decide on a treatment approach.  An initial consultation is required for all new patients so that we can determine the most appropriate way to meet your wellness and lifestyle goals.

•Before you come in, please have a meal or snack.  Be sure to wear loose, comfortable clothing.  If you have access to a printer, download and print the initial paperwork below.  If not, simply come in 20 - 30 minutes prior to your scheduled time so you have time to fill it out before our visit.

•If you have any questions before your visit, please contact us!


The Massage Intake Form provides the information needed for Acupuncture & Wellness of Wisconsin to give you a customized therapeutic massage.

The Treatment Goals Form offers you the opportunity to set and prioritize goals for your treatments at Acupuncture & Wellness of Wisconsin.