Patient Forms

Please take a few minutes to download these intake forms for your first Chinese Medicine visit to Harmony Health Acupuncture and Herbs and Sarasota acupuncturist Josh Zimmer, AP. It will make the initial treatment go much faster.

 

PATIENT HISTORY - 1

PATIENT HISTORY - 2

CURRENT AND FORMER CONDITONS

FINANCIAL POLICY

ARBITRATION and CONSENT TO TREAT