Patient intake forms may be downloaded and printed off:

Please fill out the intake form before arriving at the clinic. Thank you.

Male Fertility Form	Intake form for male fertility patients.	MALE_FERTILITY_FORM_Final.pdf
Female Fertility Form	Intake form for female fertility patients.	WOMANS_FERTILITY_FORM_Final.pdf
Health History Questionnaire	General intake health history form.	Health_History_Questionnaire__2_.pdf
Disclosure and Fee Schedule	It is important that you understand the following information before you come for treatment.	Disclosure and Fee Schedule.pdf

Additional information may be found below:

Alkaline Food List	Eating the correct foods is one part, but there is more to it than just that.	Alkaline_Foods_List.pdf
Balance Acid and Alkaline Foods	A surprising number and variety of physical problems and diseases can be caused by the problem of foods that are acid-producing after digestion.	Balancing_Acid-Alkaline_Foods.pdf
Basal Body Temperature Chart	Basal Body Temperature Chart in PDF form	BBT_Chart.pdf
Female Vitamins Protocol	Female protocol for vitamins supplements	Female Vitamins Supplements.pdf
Male Nutritional Protocol	Male Factor Nutritional protocol information	Male Factor Nutritional Recommendations.pdf
IVF Treatment Information	For those who are unable to conceive without the use of high tech fertility treatments it is our focus to prepare your body so your chance of success is significantly increased.	IVF-Acupuncture.pdf
IVF Suggestions	Suggestion for IVF patients	Suggestions_for_IVF_Patients.pdf
Male Fertility	Information for the treatment of male fertility	Male_Fertility.pdf
Explanation of TCM	A general explanation of Traditional Chinese medicine.	Explanation of Traditional Chinese Medicine.pdf