New Patients


New Patient Forms
Getting the Most From Your Acupuncture Treatments

New Patient Forms

If you are having difficulty printing the forms, or need them emailed, faxed or mailed to you please call (415)846-4643

Please bring the completed forms to your initial appointment.  Please include on these forms all confidential information you wish to convey to the acupuncturist.  Opportunities to express confidential information verbally may be limited in our community treatment setting.

New Patient Forms
(Click on the PDF Icon to download “PDF Reader”)

Getting the Most From Your Acupuncture Treatments

Avoid Brushing Your Tongue

The color and texture of the tongue coating are important diagnostic clues in Chinese medicine. Please avoid brushing your tongue for at least 48 hours before a visit.

If you habitually brush your tongue to prevent bad breath, please indicate this on the New Patient Forms. Persistent bad breath may be a sign of stomach imbalance, and may be an important fact for your practitioner to know.

Get A Good Night’s Sleep

Get a good night’s sleep before your appointment. Receiving a full-strength acupuncture treatment when you are very tired can make you feel more depleted. If you had an unusually late or rough night, try to nap before your appointment. Be sure to inform the acupuncturist if you feel unusually tired, so that she can reduce the strength of the treatment as needed.

What to Wear

Please wear loose, comfortable clothing that can be easily rolled above your knees and elbows. Be prepared to remove your shoes and socks.

If you seek treatment for neck, shoulder or back pain please wear clothing that maximizes our access to these areas. For example, it may be useful for women to wear “spaghetti-strap” tank tops and for men to wear low cut tank tops, or to remove their shirts.

Please do not wear cologne or perfume to our clinic as many people are allergic to fragrances.

In the Hours Before Treatment

Receiving an acupuncture treatment while hungry can cause dizziness or fainting. In the hours before treatment eat as normal and arrive with a little food in your stomach.

Avoid vigorous exercise, hot tubs, over-eating and drugs or alcohol for several hours before and after a treatment.

Arrive 10 Minutes Early

MAP is a high-volume clinic seeking to provide high quality acupuncture care to as many patients as possible. Appointments are scheduled every 15 minutes. Please arrive at 211 Gough ten minutes before your appointment, so that you have time to settle and are ready to walk into the treatment room at your appointed time.

Arriving even 5 minutes late may make it impossible to provide you with your full treatment. If that is the case you may be offered a partial treatment (fewer needles than you optimally need) or offered an appointment later that day if available.

We ask your patience if attending to another patient’s unforeseen medical needs causes us to run late. We make every effort to see each patient at their appointed time.

Come prepared to relax and enjoy your treatment!

What to Expect During Your First Visit

The initial visit will last approximately 1 hour. Please bring your completed New Patient Forms to this appointment. If the acupuncturist needs further information about anything you have written, she will phrase questions that do not reveal your confidential information to other patients present in the community treatment room.

After reviewing your forms the acupuncturist will examine your tongue and take the pulse on both wrists to form a Chinese medicine diagnosis and treatment plan, then proceed with your initial treatment. Please be sure you are in a relaxed and comfortable position at the beginning of the treatment, as you will be in this position for 20 to 30 minutes.

Acupuncture needles are very fine and flexible, not comparable at all to the needles used to administer shots in Western medical settings. Acupuncture treatments are very relaxing and virtually painless.

There are several sensations that are normal to feel during acupuncture. When the needle first goes in you may feel a tap, then either nothing or a slight prick similar to a mosquito bite. Once the needles are in there are several sensations that are normal to feel. These include warmth, pressure, heaviness, distention (like the area around the needle is getting bigger), a dull soreness or ache, or a momentary sensation of electricity. You may also feel other sensations that are difficult to describe, such as the feeling of water trickling through part of your body. These sensations are all normal and are simply indications that qi (energy) is being stimulated, which is the goal of acupuncture. If you feel sharp pain or burning simply inform the acupuncturist and she can adjust the needles until you are comfortable. It is important to try not to move about once the needles are inserted.

Needles are retained for 20 to 30 (or occasionally 45) minutes depending on your condition and constitution. Soon after insertion, you will begin to notice a relaxation effect. This is due in part to the fact that acupuncture causes the release of endorphins into the bloodstream. Endorphins are our bodies’ natural morphine-like substances. Most people fall into a very deep state of relaxation during treatment, or even fall asleep. A sensation of calmness or slight euphoria is common after treatment.

Subsequent visits last 20 to 45 minutes, depending on the type of treatment appropriate for your condition.

Relax For a Few Minutes After a Treatment

Some patients feel a sense of euphoria after receiving acupuncture. If you feel a little “spacey,” sit quietly in our waiting room for a few minutes until you feel normal. Sipping some water may help.

In the Hours After Treatment

In the hours after treatment your body is still going through a process of physiological rebalancing. To maximize the treatment effect avoid vigorous exercise, hot tubs, over-eating, and drugs or alcohol for several hours before and after a treatment.

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