Returning Patients

Please utilize the following links and forms to facilitate your visit.

Check in

Scheduling

2021 Financial and Treatment Consent Form

Acupuncture Consent Form

Are you happy with how you are being treated? Let others know.

Also consider leaving a review on Google.

Bloomington Review

Jasper Review

Not happy with how you are being treated? Let us know.

Constructive criticism is how we grow and improve.

Outcome Assessment Tools

To track progress and to satisfy insurance guidelines, please complete the applicable form(s) below related to your primary and/or secondary complaint at your first visit of the month. Compliance may affect insurance coverage.

NECK AND UPPER BACK

Mid to Low Back and Pelvis

Upper Extremity

Lower Extremity

Friendly Reminder

Prior to your appointment, please be sure to change into the appropriate apparel for your specific region of complaint(s).

There are restrooms for changing located to left around the corner, before the white curtain.
Appropriate apparel
- T-shirt for Upper Extremity, Neck, and Upper Back Complaints
- Shorts and Bare Feet for Lower Back and Lower Extremity Complaints.

Masks...

06-01-21: With the majority having had a chance to be vaccinated, I will follow your lead. If you wish to continue wearing a mask in the studio, I will do the same. If you don't, I won't. Give grace for others' decisions.