Client Forms

Dr. Jennifer (Jem) Minor

Nourishing Alchemy Healing Arts
Doctor of Acupuncture and Herbal Medicine
L.Ac, MAOM, DAHM

Please bring them with you to your in-person session (or email for online coaching sessions):

 ✉️  [email protected]

Client Signature Forms

Three forms requiring signature: Informed Consent, Payment Policy, Privacy Policy & Consent for Health Care. 

Download Client Signature Forms (PDF)

Health History Form

Detailed health history on your physical, mental, and emotional health so Dr. Jem can provide effective and personalized care.

Download Health History Form (PDF)
Book an Appointment