Patient Forms & Downloads

Before your visit:

Please browse the following categories for patient forms and other downloadable information such as pamphlets, brochures, and other hand outs. Click the link to view and print or even download each .PDF file.

Your Information. Your Rights. Our Responsibilities.


Forms for New Patients

Statement of Purpose & Consent Form

Patient Comprehensive Health Profile Form

Brochures, Flyers & Resources

Dr. Dan, the Baby Whisperer


Forms for New Patients

Intake 1 – Medical History Form

Intake 2 – Patient Information

Acupuncture Consent Form

Acupuncture Insurance Form

Regular Clinics and Special Events



Women’s Wellness Community Acupuncture Clinic 

(Meets Weekly)

*Now hosted at our downtown Northampton practice!



Brochures, Flyers & Rack Cards

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Empowering Things You Can Do to Prepare for Birth 

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Top 10 Reasons to Refer to Acupuncture in the Post-Partum Period

Working with Amy Mager, Lic. Ac., Dipl. O.M. (NCCAOM)

Acupuncture & Chinese Medicine for Acute & Chronic Pain & Illness

Head Down, Tush Up: Getting Your Baby Positioned for Birth

I’m Pregnant, Nauseous and Tired, Help!

Acupressure Support For Labor

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