Welcome to Merriam Park Acupuncture!

We are honored and delighted that you have chosen us as your acupuncturist practice. We look forward to partnering with you to address your health concerns and we will do all we can to ensure you achieve the most successful result possible for you.

Below are links to the forms we need for your initial session. They must be filled out before your initial appointment.
We will go over your intake form in depth during your initial appointment. Prepare to have your first appointment be around an hour to an hour and a half. Your treatments will be centered around your health as a whole and not just one symptom. No complaint is too small.

Please understand that we book this time especially for you. If you do not show up, we do not get paid. We ask that you contact us 24 hours prior to canceling your appointment as we can usually fill the appointment with others who are wa. We have a $40 late cancelation or no-show fee. You will not be charged if the reason is due to an emergency, illness, or inclement weather.

Electronic New Patient Forms

Please select the intake forms that fit your needs the best. If you prefer to print and complete the forms by hand, please see the links to the PDF’s for you below.