Forms

Help the office stay paperless!
In an effort to cut down on paper waste, document storage, and to simplify the process in which your paperwork is receive, Tracy Zollinger L.Ac. has made the choice to go “paperless”. You can still download the forms below print them and fill them out by hand but it is preferred that you submit your forms electronically. Please note that, if applicable, you should bring any previous Western Lab blood work to your first appointment or email them in advance.

Forms Instructions
So that we may make use your first office visit time productively, please complete the following forms and submit them prior to your appointment. To properly complete the forms:

  • Save them to your desktop by right clicking each form’s link and selecting “save target as” (Windows) or “download linked file as” (OSX/Apple) and selecting your desktop as the location
  • Open each file from your desktop and complete all applicable fields
  • Once complete, save the document
  • Email all forms as an attachment. It is recommend that you download and install the latest version of Adobe Acrobat Reader.

I am looking forward to meeting you!

New Patient Paperwork (please complete all prior to your arrival to your first appointment):

New Patient Health Questionnaire – right click and “save as”.
Informed Consent – right click and “save as”.
HIPAA Disclosure – right click and “save as”.

Please email all completed forms to: tracyzollingerlac@gmail.com