Client FOrms
You will be sent required forms electronically via email.
If you are unable to access the electronic forms that are emailed to you, you may print these out and bring them with you to your appointment.
The forms can also be filled out electronically or be scanned and sent to Stacy at lightessencehealingarts@gmail.com prior to your appointment.
To access all required paperwork for new patients please see links below for printable pdf forms.
Thank you for taking the time to provide this information in support of your care.
Forms for Biodynamic Cranial and Massage:
New Patient Intake- Full Packet
New Client Intake Form
HIPAA Notice
Covid Consent to Treat
Forms required to receive Acupuncture:
New Acupuncture Patient Intake Form
Informed Consent to Treat (acupuncture specific)
Arbitration Agreement (acupuncture specific)
HIPAA Notice
Covid Consent to Treat
Form required for treatment of minors:
Minor Release
Form for motor vehicle accident patients:
MVA Intake