Patient Forms

New Patient Forms – In Office Visit

Please DOWNLOAD, PRINT AND FILL OUT these forms before coming in for your first visit. This will help expedite the visit.  You will need Adobe Acrobat Reader to view these PDF files. To download the FREE Reader click here.

New patient forms

**Note:  Please be aware that our offices in Melbourne and Jacksonville Beach have full herbal pharmacies, therefore the office is kept at a cooler temperature to help preserve the herbs. Please bring a sweater or jacket if you are sensitive to cooler temperatures.  Warming covers are used in the treatment rooms to keep your body temperature warm during treatment.


Phone Consult Forms
If you will be calling Dr. Bo-Shih Ni to be treated as a patient over the phone or Skype, please download and fill out the forms below before calling to speak with the physician.  You will need Adobe Acrobat Reader to view these PDF files. To download the FREE Reader click here.

New patient phone/skype consult forms

Thank you for your cooperation!