Michelle Thelen, L.Ac
New Client Forms

Please print these forms and bring them with you to your first appointment.

If you don't have a printer, no problem! Come 30 minutes early to your appointment. We have plenty of copies at the office for you to fill out.

Use your computer's back button when you've finished printing each page.

 

New Client Info	Informed Consent	Notice of Privacy Practices	Notice of Privacy Receipt