Randy Weinreb, L.Ac.: 541-306-7842 and Carol Connett, LMT: 541-306-7801

Email us at: bendacudoc@msn.com

Download Forms You'll Need here!

These forms are all Adobe Acrobat Reader pdf files, and should automatically download to your computer if you have Acrobat installed. If you cannot open them, you probably need to download Adobe Acrobat Reader, and you can do so by clicking on the button at the bottom of this page, and following instructions for your type of computer.

Form 1&4: Acupuncture Intake Form and Consent Form

Form 2: Health Record Authorization

Form 3: Billing Form

Form 4: Consent Form

Form 5: Massage Intake for Carol's Clients

Form 6: Massage Intake for Randy's Clients