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To Make An Appointment
Call 828-258-1883

FOR PERSONAL COUNSELING

 
FOR ACUPUNCTURE TREATMENTS
Please call my office to discuss   Please call my office to discuss
• Scheduling an appointment
• Cost for the consultation
• Location for the appointment
  • Scheduling an appointment
• Cost for the treatments
• Location for the appointment

 
What To Bring To the Consultation   What To Bring To the Initial Evaluaion
• Filled-in History Form (below)
• Read Important Pre-Consultation Info (below)
Write Questions (on a separate paper) that you want to be sure get answered
• Recent medical tests, if easily available
(these might be blood tests or summary reports from more extensive tests like MRI or CAT scan)
• Tape recorder, if you want
An open mind and heart, to be prepared to change and heal
  • Filled-in History Form (below)
• Recent medical tests, if easily available
(these might be blood tests or summary reports from more extensive tests like MRI or CAT scan)
• See the bottom of the Acupuncture Practice page for certain important do’s and don’ts
• Your first treatment immediately follows the Evaluation
A relaxed mind and body, so that you can experience the benefits all the sooner
 
Personal History Form & Additional Forms

This must be filled out in advanced. It can be mailed to you, or you may download it with the link below. Please be aware that the use of this form is specific to my healing work. Other counselors or acupuncturists will use their own form. You do not need to mail or send it on to me in advance of our appointment. I prefer that you bring it with you to the initial meeting.
I look forward to meeting you in person!


Adobe Acrobat

This program is free. Once you download Acrobat, you can read and print the History Form. Once on your computer, you can make use of it from then on.

--------------- FORMS ---------------

Personal History Form
(3 pages)

Important Pre-Consultation Info
(2 pages)

Follow-Up (Revisit) Form
(1 page)

--------------- DIRECTIONS ---------------

Directions to Asheville Counseling & Acupuncture Office

Places to Stay & Eat in Asheville, N.C.
(3 page)

Directions to Bethesda, Maryland Office
Friday afternoon-Sunday

Directions to Bethesda, Maryland (Private Home)
(Only used Monday-Thursday & Friday morning)


© Michael Rossoff, 2004-2010
www.michaelrossoff.com