Acupuncture Intake Form | Calgary, AB | Nose Creek Physiotherapy

Acupuncture Patient Intake Form:

This is Dr. Eileen Wei. Thank you for this wonderful opportunity to help you along the path of healing.

You might notice that the intake form is quite long. The information collected in this form allows me to have a better understanding of your overall health condition so that I can provide the best service to you. Please take some time to fill it out and submit it at least 24 hours before your first visit.

Here is how to prepare for your appointment:

  • Arrange your meal/snack time so that you won’t feel hungry during the treatment
  • Avoid eating a heavy meal within 2 hours of the appointment
  • Wear loose comfortable clothing. You’ll have time to change if needed
  • Do not take alcohol or any recreational drugs on the day of your appointment
  • Do not drink coffee within 2 hours of your appointment
  • Come hydrated
  • Use the bathroom before the treatment

The initial visit is about 90 minutes and the follow-up visits are about 75 minutes. If you need to leave earlier please let me know at the beginning of the appointment.

And after the treatment:

The healing process continues after the session is done, so it’s best to take it easy for the rest of the day, avoid strenuous exercise, eat lighter food, drink more warm/room temperature water, and go to bed early. By doing this you will get the most benefit out of each treatment.

If you have any questions or concerns please let me know when we meet. I look forward to working with you to achieve your health goals!

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