banner image

Expect Great Results

masthead image

919-286-9595

  • Home
  • Information-Education
    • Conditions Treated
    • Oriental Medicine
      • Audio
      • Video
      • Presentations
      • Published Articles
    • Functional Health
    • Dietary Consultations
    • Homeopathy
    • Acupuncture Research
    • Blog
  • About us
    • Practitioners
    • Clinic
      • Information
      • General Office Procedures
      • What to Expect on your First Visit
      • Mission Statement
    • Office Policies
  • Forms
  • Success Stories
    • Autoimmune
    • Immune-Respiratory
    • Brain & Memory
    • Cancer Support
    • Digestion
    • Fertility
    • General Health
    • Pain
    • Prenatal & Postpartum
    • Skin & Hair
    • Stress
    • Women’s Health
  • Contact Us
    • Contact Form
    • Map & Driving Directions
    • Office Hours
pestal

New Patient Questionnaire

OHS Consent, Office Policies, HIPAA Privacy

Signature Form

Location & Directions

Hours

Contact

  • Brain & Memory
  • Digestive Disorders
  • Diabetes & Blood Sugar
  • Immune System
    • Autoimmune
    • Allergies
    • Food Sensitivity
  • Fertility
    • Fertility
    • Healthy Baby Blueprint
  • Women's Health
    • Women’s health issues
    • Menopause
    • Lactation breast pain
  • Men's Health
  • Pain
  • Cancer
  • Emotional Health
Chinese herbs

Patient Forms

PDF Form

New Patient Questionnaire

PDF Form

OHS Consent, Office Policies, HIPAA Privacy

PDF Form

Signature Form

PDF Form

Herb Cooking Instructions

PDF Form

Basal Body Temperature Chart

PDF Form

Food Inventory Chart

PDF Form

Metabolic Assessment Form

Terms of Use | Privacy Policy

©2002-2021 Oriental Health Solutions, LLC — Some Photographs © Dagmar Ehling or Fang Cai

rouviere.com