Clinic Forms

Clinic Forms

Get Our Lake Oswego Acupuncture Clinic Forms

    Your HEALTH Starts NOW.


Congratulations and welcome to our clinic!  The journey to getting healthy starts now.  This is an exciting time and I can't wait to start working with you.


The next step is to complete the appropriate clinic forms.  Give yourself about 15 minutes to complete the paper work.


There are clinic forms below for:

New Patients

Motor Vehicle Accidents

Cosmetic Acupuncture


If you are unable to complete the forms at home, please come 20 minutes early and we can provide you with the forms at the clinic.


If this is your first time getting acupuncture, you will want to wear comfortable clothes if possible. If you are coming from work, don't worry about your clothes.  Definitely come well hydrated and eat something small if it has been a while since your last meal.


We look forward to seeing you soon!

Below you can download our Lake Oswego Acupuncture clinic forms.

Acupuncture is a safe and effective in treating many health conditions like pain, anxiety, stress, headaches, and much more.

Chinese Herbal Medicine is very effective in treating many health conditions and diseases. It is non-addicting and rarely any side effects. Call to schedule a herbal consultation.

Looking for a natural way to reduce wrinkles and fine lines?  This technique requires no needles so you can even had it done the same day as a special event. You can look 10 years younger while improving your health.

Please reload

New Patient Forms- click the PDF's below, download and print.
Please complete all 6 documents
Below is the HIPAA Guidelines to read. You do not have to print this out, unless you would like it for your records. Signature is required from the above form called "Notice of Privacy". Thank you!
Motor Vehicle Form
Cosmetic Form

© 2023 by Maple Park Family Practice. Proudly created with

Contact Info


(503) 675-4343

(503) 515-7702


Vibrant Life Acupuncture

Acupuncture Clinic

4248 Galewood ST

Lake Oswego, OR 97035

  • Facebook
  • Instagram