Patient Intake Forms

Thank you for scheduling your first acupuncture appointment.

We value your time and want to make your visit a comfortable and relaxed experience. Click on the link below to view the necessary initial intake forms for you to print, fill out, and bring with you on your first appointment. We have found that many patients prefer to fill these out in advance to minimize their wait time at our office.

If you have any questions, please feel free to contact us. We look forward to meeting with you and help you begin your healing process.

Click here to view and print your initial intake forms.


Acupuncture Health Center
1303 Astor St # 101, Bellingham, WA 98225
Phone: (360) 715-1824


Serving Fairhaven, Happy Valley, South Hills, South Bellingham, Puget, Whatcom Falls,
Geneva, Whatcom Falls Park, Alabama Hill, Silver Beach, Columbia, Cornwall Park, Birchwoods,
Meridian, Mt Baker, Guide Meridian, Dewey, Van Wyck, Edgemoor, Samish Hill

Zip Codes: 98225, 98226, 98237, 98244, 98264, 98266,
98274, 982834, 98284, 98284