For a Zoom or Telephone Consultation Click HERE.

Forms for Counseling or Acupuncture

Call: 828-258-1883
Fax: 206-600-6218
Email: michael@michaelrossoff.com
To discuss • Scheduling an appointment • Cost for the consultation • Location for the appointment

       For Personal Counseling       

What to Bring to the Consultation
• Personal History Form or Follow-Up Form
     Sent online ahead of your appointment
​     OR bring it with you.
• Read Important Pre-Consultation Info (below)
• Bring Medical Reports (only most important)
• Write Questions (on a separate paper) that you want to be sure get answered.
Consultations available by Zoom, Skype or in person.

  For Acupuncture Treatments  

What to Bring to the Initial Evaluation
​
• Filled-out Personal History Form Only (below)
• See the bottom of the Acupuncture Practice page for certain important do’s and don’ts
• Your first treatment immediately follows the initial evaluation

 Personal History & Follow-Up Forms
The Personal History Form, (3 pages) and the Follow-Up Visit Form (2 pages) can be filled out online and returned to me.
(1) Download the proper form with the links below.
(2) 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).
(3) When you're finished filling out the 3 or 2 pages in Adobe Reader...
(4) Download (Save) your filled-in version to your computer, renaming it "Your Name -- Personal History Form"
(5) Attach this to an email that you will send to me (michael@michaelrossoff.com), putting "Your Name -- Personal History Form" in the Subject line.
Personal History Form
 (3 pages, in pdf format)
Remember to bring important
medical records        
Follow-Up (Revisit) Form
(2 page, in pdf format)
Bring your “Nutritional Guidance Booklet”
to the Follow-Up session
Important Pre-Consultation Information

Directions to Appointments in Asheville, NC