Lavender Intake Forms

Please see below for a downloadable version of our intake forms. You are required to complete these prior to your appointment. If you have any questions please do not hesitate to reach out and contact us.

  • Acupuncture Intake Form

    Please download and fill out the form via the button below

    Download Acupuncture Intake Form

  • Insurance Acupuncture Intake Form

    Our mandatory Insurance form all clients must fill out. Please use button below to download.

    Download Insurance Acupuncture Form

  • Massage Intake Form

    All written records and massage sessions are kept strictly confidential and will not be shared with any outside establishment, individuals, organizations, or medical facilities without explicit written consent from the client (you) or the client’s legal guardian – unless legally required by local, state or federal subpoena, summons, or other court order.

    Download Massage Intake Form

  • Minor Consent Form

    A form all clients under the age of 18 must have filled out by the parent or legal guardian

    Download Minor Consent Form

  • Naturopathic & Nutrition Intake Form

    Please download and fill out the Naturopathic & Nutrition Intake form if you have been instructed to by your therapist

    Click Here