Downloadable forms

Having these forms filled in advance make new client orientation faster! Download these pdfs, print and complete. Consent forms are filled out in person at the time of your appointment.

Health history & Consent forms

Please fill these forms out to the best of your ability so we may serve you better knowing your full and relevant health history.

Patient Health History Form (pdf)
Consent Form (pdf)

Direct MSP billing application

For B.C. residents who qualify for premium assistance (an income of $30,000 or less) Medical Services Plan (MSP) will cover $23 per visit to a maximum of 10 visits (acupuncture, physiotherapy, chiropractic) per calendar year.  Heart & Hands Health Collective can bill directly on your behalf for up to 10 Community Acupuncture sessions depending on eligibility and coverage.

Application for Direct MSP Billing (pdf)

Book a Community Acupuncture appointment

Book your session

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