Appointment Forms

Everything you need for your appointment in one place

Intake Form

We use an intake form to gather important information like medical history, current health status, and specific areas of concern. This information helps us to understand each individual's unique needs and develop an effective treatment plan. 

By completing an intake form, you provide our staff with valuable insights, which can ultimately lead to a more personalized and effective acupuncture experience.

Consent & Payment

DC Aesthetics & Acupuncture uses an informed consent form to ensure that patients fully understand the treatment they will be receiving, any potential risks or side effects, and their rights as a patient. 

By filling out this form ahead of time, patients can take the time to carefully review the information provided and ask any questions they may have before their appointment. This helps to promote transparency and trust between the patient and the practitioner and ultimately leads to a more comfortable and effective treatment experience.


800 5th Ave. S #201, Suite 7
Naples, FL 34102


By Appointment Only

Monday-Thursday: Open

Saturday & Sunday: Closed


Privacy Policy

Shipping & Returns