Patient Forms

Welcome to Durango Community Acupuncture (DCA), where your health is the point.   It is an honor to serve you  and be part of your healthcare. Below is a Confidential Health History Questionnaire to fill out before your first visit. The questions are meant to give a sense of how all the systems are working in your body. The goal at DCA is to provide accessible Oriental Medicine for you, your friends and family. Due to Covid19 pandemic clinic hours have been to reduced to Monday-Wednesday by appointment.   Starting in June 2021 Thursday appointments will be added to the schedule.

Patient’s Health History Questionnaire (.pdf format)