Please download the forms that you will need for your first appointment.
Select the appropriate practitioner below and download the first visit forms. Please complete all the forms and bring them with you on your first visit.
Christina Marino, L.Ac.
- Patient Information Form
(Only if you’re having Chinese Medicine/Acupuncture)
- Comprehensive Acupuncture Examination
(Only if you’re having Chinese Medicine/Acupuncture Session)
- Self Assessment Health Profile
(Only if you are having a nutritional consultation)
- Auto Accident / Personal Injury
(Only if you’re seeing us due to an accident)
- Classical Homeopathy Form
(Only if you’re having a three hour Classical Homeopathy Session)
- Energy Healing Form
(Only if you’re having Hands on Healing Session)