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Client Forms

If you are a new client of Lisa M. Davis L.Ac, please be sure to download and fill out the following forms. Then, bring your filled out forms with you to your first meeting/session.

Acupuncture and Client Intake

Informed Consent to Treatment

Provider Abitration Agreement

Your Name*
Email*
Phone*
Your Message
Terms of Use*
- Yes, I want to submit this form
By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.
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