Yin Yang Wisdom Acupuncture 

And Traditional Chinese Medicine
Natalie Shuler LAc, MSOM, Dipl. Ac
773-270-2054
natalie@yinyangwisdom.com

Forms & Paperwork

New Patient Forms


Please print and fill out the entire New patient intake form and print and sign only the last pages of both the HIPAA and Informed Consent forms and bring them with you on your first appointment


HIPAA.pdf
53.6 KB



Nat_s_informed_consent.pdf
74.6 KB



New_Patient_Initial_Intake.pdf
1.2 MB
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