Seattle Acupuncture and Chinese Medicine Traditional Chinese Medicine in Seattle
Click to download form:
Please print and fill out the above forms and bring them with you to your first appointment. If you are unable to do so, please come in 15 minutes prior to your appointment to complete your Health History Questionnaire.

Thank you,

Jennifer Lewis, MTCM, LAc
To schedule an appointment with Jennifer Lewis please contact her by phone at 206.854.5399, or email Jennifer @
Chinese Medicine Practitioner in Seattle. Northwest Institute of Acupuncture and Oriental Medicine.