Patient Forms

Welcome to Durango Community Acupuncture (DCA), a gathering place for everyones health and wellness. We are honored to serve you for your healthcare needs, and grateful that you have chosen to be a part of our community. Below is a Confidential Health History Questionnaire that we ask you to fill out before your first visit. The questions are meant to give us a sense of your background and the patterns of well-being we can work to facilitate with you. Our goal at DCA is to provide accessible Oriental Medicine for you, your friends and family. We are here Monday through Friday, by appointment, with some evening and weekend hours. We look forward to this journey of health and wellness with you.

Patient's Health History Questionnaire (.pdf format)