Print the forms and fill them out to the best of your ability.
The more detail that you can provide to Juliette Aiyana, L.Ac., the better she will be able to assist you.
These forms ask for an extensive amount of detailed information, so it is imperative that you fill them out before your appointment because there is no time allotted for paperwork during your consultation time.
If your computer doesn’t already have it, you will need the Free Adobe PDF Reader to download the forms.
CLICK THE LINKS BELOW TO DOWNLOAD FORMS
This form was created by experts in the field of chronic pelvic pain. It addresses many aspects of your health such as past medical history, medications, an in depth description of your pain, emotional health, sexual health, what treatments you have tried, etc. Take your time filling this out. We will review this history form with you when you come to your first visit.
Juliette Aiyana looks forward to meeting you and to guiding you in your pursuit of vibrant health!