Acupuncture Appointment with Michael Rossoff, L.Ac.
What to Bring to the Initial Evaluation
• Personal History Form (below) filled in with your
information then email it ahead to me
• Recent medical tests, if easily available
(these might be blood tests or summary reports from
more extensive tests like MRI or CAT/CT scan)
• Read certain important do’s and don'ts (below)
• Your first treatment immediately follows the initial evaluation,
so expect the first visit to last 1½-2 hours
• A relaxed mind and body, so that you can experience the
benefits all the sooner
Personal History Form
The Personal History Form (3 pages) can be filled out online and returned to me.
• Download the form with the links below.
• Then open it using Adobe Acrobat Reader, which is already on most computers, otherwise there is a free copy HERE (be sure to uncheck all "Included with your download" before clicking Download).
• When you're finished filling out the 3 pages in Adobe Reader...
• Download (Save) your filled-in version to your computer, renaming it "Your Name -- Personal History Form"
• Attach this to an email that you will send to me (firstname.lastname@example.org). Please put "Your Name -- Personal History Form" in the Subject line.
I look forward to meeting you!
Directions to Your Appointment in Asheville, N.C.