(856) 226-4434(856) 226-4434(856) 226-4434
Mikyung (Romi) Lee
Acupuncture & Oriental Medicine

Helpful Forms

How to Prepare for your First Acupuncture Appointment

  • It is best to eat food within 4 hours of receiving your treatment. If you have not recently eaten, a light snack is recommended.
  • Please refrain from consuming caffeine 30 minutes prior to your appointment.
  • Please refrain from alcohol and physical exercise during the day of your treatment.
  • Loose fitting clothing is recommended.
  • Please bring any recent lab results or a list of medications that you are currently taking.
  • Please complete the New Patient Intake Form and bring it with you to your first appointment.

If you have any questions or concerns, please contact oneacuclinic.net for more information.

New Patient Intake Form

If you are a first-time client, please print this form, complete it, and bring it along to our first session.

Intended Outcomes Form

These forms are a way of measuring your outcomes and progress

Notice of Privacy Requirements

If you are a first time patient, please look over and sign this form.

Note: To download Adobe Acrobat Reader for free, click here.