Intake form and Self-assessment
We kindly request that you complete a brief medical history intake form (Medical Intake Form). This enables us to understand your current symptoms and history. For more complex issues and internal medical conditions, we also request that you complete a second, slightly longer Chinese medicine intake form (Self Assessment). This helps us to better understand your unique situation and prescribe customized herbal preparations. To save you time and help you understand your unique signs and symptoms from both Western medicine and Chinese medicine perspectives, both the intake and self-assessment profile forms can be completed before your visit.