Online Forms

New Patients

In preparation for your first acupuncture appointment, please download the following new patient forms and bring them in with you.   Please be sure to download the appropriate new patient forms as well as the office forms. 

New Patient Forms

If you are a new patient seeing fertility enhancement treatments, please download the following:

New Fertility Patient Medical History

If you are new patient seeking treatment for general health concerns, please download the following:

New Patient Medial History

Office Forms

Informed Consent to Treatment

Office Policy

It is best to eat a light meal before your appointment, so that your body has energy to work with. Sometimes a person who has not eaten will feel lightheaded or weak when receiving an acupuncture treatment. In this case, inform us immediately and we will take the appropriate actions. It is best to wear shorts or loose clothing so that the arms and legs below the elbows and knees, as well as the abdomen, are accessible. Do not engage in strenuous activity, drink alcohol, smoke excessively, or ingest heavy meals before or after your treatment.

Adrienne Wei, L.Ac., M.S.O.M.

Fellow of American Board of Oriental Reproductive Medicine (ABORM)

301 Providence Rd
Charlotte, NC 28207
704-307-7821
Adrienne@ipacupuncture.com