Patient Forms
Please print the following forms, answer the appropriate questions and bring the forms to your initial visit:
Please either bring documentation that you have been to a doctor or chiropractor for your condition or sign the following form:
Harmony Acupuncture Consent Form
Harmony Acupuncture Consent COVID19
Harmony Acupuncture Covid19 Screening Checklist
Harmony Acupuncture and Healing Practices
Christie M. Savage, M.A., Dipl.Ac. (NCCAOM)® . L.Ac.
1415 Sachem Place Suite 2-B
Charlottesille, VA 22901
434-242-8305
harmony.acupuncture@yahoo.com
2013 N. Augusta St
Staunton, VA 24401
434-242-8305
