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Davis Square Acupuncture & Healing Arts
Lisa Desrosiers, MAc, LAc
Licensed Acupuncturist
Energy Medicine Practitioner
 
240A Elm Street, Suite 26
Somerville, MA 02144
617-548-8167
Lisa@DavisSquareAcupuncture.com
 
 
Forms and Paperwork for First Office Visits



Download Forms
Health History (Word Format)

Welcome and Office Policies (PDF Format)

Consent Form (PDF Format)

Privacy Practices (PDF Format)


Paperwork
These forms are available as editable Word documents or in PDF format.
(You may need to download the latest version of free Adobe® Reader® software to read the PDF files).

All new patients please complete the Health History and email it to Lisa@DavisSquareAcupuncture.com before the first appointment.

Please review the Office Policies, Consent Form, and Privacy Practices before your first visit. You will sign a consent form and notice of privacy practices at the office.