Jackie Payne Acupuncture

Jacqueline Aurora Payne, M.S., L.Ac., C.SMA

Intake/Consent Forms

Prior to your first treatment you will be asked to complete the new patient intake form.  This form can be downloaded and sent back, printed from online and brought to the appointment, or you can arrive 20 minutes early to your treatment to complete the form--whichever is easiest for you.

Intake/Consent Form

Notice of Privacy Practices