Donald Charlson, R.N., D.O.M. (NM), L. Ac.

Helpful Forms

The following forms are designed to help us work together more easily:

Patient Intake Form

Completing this form before your first visit will provide additional information during the initial consultation.

SF-36 Survey

Completing this survey before the initial consultation and first treatment will provide a baseline and re-administered during the re-exam to help measure progress.

Consent to Treat

Signing this form consents to treatment.

Things To Remember Before & After Acupuncture Treatments

Eight things to remember before an acupuncture appointment and how to take care of yourself after an acupuncture appointment.

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