Acupuncture intake form - Sage Cancer Care 2025

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The document is an Acupuncture Intake Form for patients at Sage Cancer Care, located in Portland, OR. It collects personal information, social history, current medications, health concerns, health goals, current symptoms, allergies, and a review of systems. Additionally, it includes an informed consent section for acupuncture treatment and an arbitration agreement regarding medical malpractice disputes. The form emphasizes confidentiality and the importance of accurate information for effective care.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does acupuncture do for cancer patients?

Acupuncture is an integrative medicine therapy that has been proven to help with pain, improve well-being, and reduce the side effects of cancer treatments such as chemotherapy, radiation and surgery.

How are Chinese herbs prescribed?

Chinese herbal medicine is based on an individualized pattern diagnosis as well as disease diagnosis. A patient receives a custom written formula to treat the symptoms, the disease, and also their individual pattern.

What is the most powerful Chinese herb?

Ginseng. Panax ginseng has been used as an herbal remedy in China for thousands of years. Its one of the most valued medicinal herbs, with the name panax meaning all healing.

Can acupuncturist prescribe herbs?

Some acupuncturists are also trained in Chinese Herbal Medicine and can prescribe personalized herbs to enhance your treatment.

Can herbalists prescribe herbs?

Herbalists cannot diagnose, prescribe, or treat patients (unless they have a medical license in another field that confers those rights). They can, however, legally recommend, educate about, and dispense specific herbs.

Can acupuncturists recommend supplements?

Herbal Supplements Can be a Good Option Talk to your acupuncturist about what herbal supplements they recommend to help you add those vital nutrients to your diet. Identify your health goals so you and your acupuncturist can develop a plan specifically designed for your needs.

Acupuncture intake form - Sage Cancer Care 2025

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