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Patient Forms

A comprehensive medical evaluation takes place at your first appointment. The Health History Questionnaire and initial intake provide critical detail that helps to develop a diagnosis and treatment plan for you. Please complete a Health History Questionnaire and Consent Form and bring it with you to your first appointment. Click here to download the forms (.pdf)

Notice of Privacy Practices (HIPAA) - This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please read it carefully. Click here to download the form (.pdf)

Lynn Teo LAc, MSc, MAOM

Three Rivers Wellness

By Appointment Only
(301) 456-5467

Three Rivers Wellness has relocated to Portland, ME!
See you in 2021!