New Patient Forms -

New Patient Forms

Please fill out these forms and bring them with you to your first appointment:

Click here to download New Patient Forms.

I realize that I'm asking for a lot of information on this intake. In my experience, any information is good information and what may often seem like irrelevant symptoms in Western medical terms can be valuable clues for solving complex health issues with Chinese medicine.

Out of concern for our limited natural resources, please feel free to print these forms double-sided. If you can do this with the pages in their proper order (e.g., page 1&2, page 3&4, etc.), it will help me to more easily organize your chart. In this case, page 9 will be blank on the other side. Thank you.

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Rick DeTroye L.Ac. LLC
200 NE 20th Avenue, Suite 140
Portland, OR 97232


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Rick DeTroye LAc LLC


"Belated thank you for your most excellent care and treatment this year. I have been virtually pain free since I last saw you and attribute it to your skill and knowledge."
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