Helpful Forms

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

Fiche Patient - French - Dr. Helena Zhang

If you are a first-time patient, please print this form, complete it, and bring it along to our first session.

Fiche Patient - French - Dr. Dong Liu

If you are a first-time patient, please print this form, complete it, and bring it along to our first session.

Medical History Questionnaire

If you are a first-time client, please print this form, complete it, and bring it along to our first session.

Herb Cooking Instructions

Oriental Medicine Herbal Treatment Guide

Consent to Treatment - Dr. Helena Zhang

If you are a first-time client, please print this form, complete it, and bring it along to our first session.

Consent to Treatment - Dr. Dong Liu

If you are a first-time client, please print this form, complete it, and bring it along to our first session.

Client Intake Form

If you are a first-time client, please print this form, complete it, and bring it along to our first session.

Note: To download Adobe Acrobat Reader for free, click here.