Online Forms

Qi Acupuncture & Wellness offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding acupuncture can we help you with? Let us know!

Download & Print Form

 



Download the Free AdobeReader®

Locations

We look forward to hearing from you.

Office Hours

Our Regular Schedule

Monday:

9:00 am-3:00 pm

Tuesday:

Closed

Wednesday:

9:00 am-3:00 pm

Thursday:

2:00 pm-7:00 pm

Friday:

9:00 am-3:00 pm

Saturday:

Closed

Sunday:

Closed

  • "You helped me rehab from my hip replacement. I can now work full time and I never thought I would be able to work again. It has been a joy to experience the care you have given me"
    Christine J.