New Acupuncture Patients: If you have not previously attended our clinic and have booked an appointment for an Initial Consultation & Acupuncture Treatment, please complete our new patient form prior to your appointment to speed up the intake process during your first visit.
New Patient Intake Form (PDF, Adobe Reader required)
Please note: If you would like to complete the intake form electronically, please save the file to your device and return the completed form by email to info@sprucegroveacupuncture.com. This works best on a computer or tablet.
New Osteopathic Manual Therapy Patients: If you have not previously attended our clinic for other services and have booked an appointment for Osteopathic Manual Therapy Initial Consultation & Treatment, please complete our new patient form prior to your appointment to speed up the intake process during your first visit.
Osteopathic Manual Therapy New Patient Intake (PDF, Adobe Reader required)
Direct Billing Forms
If you would like us to direct-bill your Acupuncture treatment to your extended health benefits, please complete the applicable form below.
Direct billing authorization form (for benefits through all other companies except SunLife)
SunLife direct billing authorization form (for benefits through SunLife only)
