If you have an appointment booked, please select the appropriate chart from below, print it off and have it completed in full to bring to your appointment. This will ensure we get you into your treatment in a timely fashion.

Acupuncture Client Chart
Basic Client Chart
QXCI Client Chart
Indigo Chart
Natural Medicine Consulation Chart
Ear Candling Chart

If you would like to fill out your chart in your browser and print it therafter, please choose a chart from below:

Acupuncture Client Chart
Basic Client Chart
QXCI Client Chart
Indigo Chart
Natural Medicine Consulation Chart
Ear Candling Chart