Acupuncture & TCM Medical Records Transfer Request
About this free form template

Streamline Your Acupuncture & TCM Records Transfer with Paperform

When patients move between acupuncture clinics or Traditional Chinese Medicine practitioners, continuity of care depends on the seamless transfer of comprehensive treatment records. Unlike conventional Western medical records, TCM documentation includes unique elements like pulse diagnosis findings, tongue analysis, meridian assessments, herbal medicine formulations, and holistic wellness plans that require specialized handling.

Our Acupuncture & TCM Medical Records Transfer Request template is designed specifically for acupuncture clinics, Traditional Chinese Medicine practitioners, integrative health centers, and holistic wellness practices that need a HIPAA-compliant, professional way to request and release patient records.

Why This Template Works for TCM Practitioners

This template addresses the unique documentation needs of acupuncture and TCM practices by capturing:

  • Complete patient identification including current and previous practitioners
  • Specific record types relevant to TCM practice (treatment session notes, herbal prescriptions, pulse and tongue diagnosis, acupuncture point protocols)
  • Date ranges for targeted record retrieval
  • Purpose of request for proper authorization
  • Patient consent with digital signature capability
  • Secure delivery preferences to protect sensitive health information

Built for Acupuncture Clinics and Holistic Health Practices

Whether you're a solo acupuncturist, multi-practitioner TCM clinic, integrative medicine center, or wellness spa offering acupuncture services, this form helps you maintain professional standards while simplifying administrative workflows. The form's clean, calming design reflects the holistic nature of TCM practice while ensuring all necessary information is collected efficiently.

Key industries and professionals who benefit from this template include:

  • Licensed acupuncturists and Traditional Chinese Medicine practitioners
  • Integrative and functional medicine clinics
  • Chiropractic offices offering acupuncture services
  • Holistic wellness centers and naturopathic practices
  • Massage therapy clinics with TCM services
  • Pain management and rehabilitation facilities

How Paperform Enhances Your Records Management

With Paperform's intuitive interface, you can customize this template to match your practice's specific needs without any coding knowledge. The doc-style editor lets you add your clinic's branding, modify questions to reflect your documentation style, and create a seamless experience that feels like a natural extension of your patient care philosophy.

Powerful features for healthcare workflows:

  • Conditional logic shows or hides questions based on responses, creating a streamlined experience for different request types
  • Required field validation ensures you receive complete information every time
  • Digital signatures via Papersign (papersign.com) for legally binding patient authorization and HIPAA-compliant consent forms
  • Secure file uploads allow patients to attach insurance cards or identification documents
  • Custom email notifications automatically alert your records department when new requests arrive
  • Professional branding with custom fonts, colors, and your clinic logo to maintain brand consistency

Automate Your Records Workflow with Stepper

Once a records request is submitted, the real work begins—verifying identity, locating files, preparing documents, and coordinating delivery. Instead of manual tracking, connect this form to Stepper (stepper.io), Paperform's AI-native workflow automation platform, to create an efficient end-to-end process.

Automated workflow possibilities:

  • Send confirmation emails to patients immediately upon submission
  • Create tasks in your practice management system or project management tool
  • Alert your medical records coordinator via Slack or email
  • Track processing status and send updates to requesting parties
  • Log requests in Google Sheets or Airtable for compliance tracking
  • Generate follow-up reminders for incomplete requests
  • Integrate with your EHR system to pull relevant records automatically

These automations mean your administrative team spends less time on manual data entry and more time providing exceptional patient care.

Security and Compliance You Can Trust

Healthcare records require the highest levels of security and compliance. Paperform is SOC 2 Type II certified and offers robust security features including SSL encryption, data residency controls, and customizable data retention policies. While Paperform is not HIPAA-compliant itself, you can implement appropriate safeguards and use it as part of your overall compliance strategy for administrative workflows.

For practices managing multiple locations or practitioners, Paperform's roles and permissions let you control who can view submissions, edit forms, and access sensitive patient information—ensuring your records management stays secure and organized.

A Better Experience for Patients and Staff

Traditional paper forms or complicated PDF processes create friction in the records transfer process. With Paperform, patients can complete requests from any device—desktop, tablet, or mobile—with an interface that's intuitive and accessible. The form auto-saves progress, validates information in real-time, and provides clear confirmation when submitted.

For your administrative staff, all submissions flow into a centralized dashboard where they can be filtered, searched, exported, and integrated with your existing tools. No more deciphering handwriting, chasing missing information, or manually entering data from paper forms.

Customization for Your Unique Practice

Every TCM practice has its own documentation methods and record-keeping preferences. This template provides a solid foundation that you can easily adapt:

  • Add or remove specific record types relevant to your modalities (cupping, moxibustion, gua sha, dietary therapy)
  • Include questions about specific herbal suppliers or formulary systems you use
  • Customize delivery options based on your clinic's protocols
  • Add internal tracking fields for your records management workflow
  • Incorporate your clinic's specific consent language or legal requirements

Join Thousands of Healthcare Providers Using Paperform

Over 500,000 teams worldwide trust Paperform to handle their critical business workflows. Healthcare providers, wellness centers, and holistic practitioners use Paperform to create professional intake forms, appointment scheduling, consent documents, patient surveys, and administrative requests—all without needing IT support or expensive custom development.

Get started today with this Acupuncture & TCM Medical Records Transfer template and experience how Paperform simplifies your administrative burden while maintaining the professional standards your practice deserves. With transparent pricing, generous usage limits, and a platform designed for growing businesses, Paperform gives you the tools to automate administrative tasks and focus on what matters most—helping your patients achieve optimal health and wellness.

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michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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