Medical Acupuncture Patient Intake Form

Welcome New Patients with a Professional Acupuncture Intake Form

When new patients book their first acupuncture appointment, you need more than just basic contact information. This Medical Acupuncture Patient Intake Form helps acupuncture clinics, integrative health practitioners, and traditional Chinese medicine specialists gather comprehensive patient data before the first session—saving valuable treatment time and improving care outcomes.

Built for Holistic Healthcare Practitioners

Whether you practice traditional acupuncture, medical acupuncture, or integrative medicine, this intake template captures everything you need: current pain conditions, energy and sleep patterns, digestive health, emotional wellbeing, previous treatments, and patient expectations. The form's gentle, patient-centered design reflects the holistic nature of your practice while maintaining professional healthcare standards.

Connect Your Practice Workflow with Stepper

Once a patient submits their intake form, you can use Stepper to automatically add them to your practice management system, send appointment confirmations, create patient charts, and notify your team. These workflows keep your front desk running smoothly without manual data entry, so you can focus on providing exceptional care.

Professional Forms That Match Your Healing Environment

Paperform lets you customize fonts, colors, and imagery to match your clinic's aesthetic—whether that's minimalist and modern or warm and traditional. Embed the form directly on your website, share it via appointment confirmation emails, or send it as a pre-visit link. With conditional logic, you can show follow-up questions based on specific conditions, ensuring you gather relevant details without overwhelming every patient with unnecessary questions.

Secure, Compliant Patient Data Collection

While Paperform is not HIPAA compliant, it offers SOC 2 Type II security standards suitable for initial intake information. You can connect submissions to your secure EHR system via Stepper or other integrations, maintaining proper data handling throughout your patient journey.

Trusted by healthcare practitioners worldwide, this acupuncture intake template helps you deliver personalized, informed care from the very first needle.