Welcome to Boulder East West Acupuncture Clinic.  We are so happy you have chosen to work with us to reach your health goals.  As a new patient of the clinic your first visit will consist of a short intake, followed by an acupuncture treatment, and discussion of Chinese herbs when appropriate.

In order to save time and to make your first visit flow more smoothly, please download both the INTAKE FORM and DISCLOSURE FORM below.  Fill them out and bring them with you when you come in to the office.  If you don’t have access to a printer, please come in 20 minutes early for your first appointment to fill them out in the comfort of our waiting room.

Download and fill out the diet diary to provide additional information.

 

REQUIRED NEW PATIENT FORMS

Select to download INTAKE FORM

Select to download DISCLOSURE FORM

 

DIET DIARY

Select to download the DIET DIARY