Resources

Patient Intake Forms

General Medical History Form  * To be filled out by all Acupuncture Clients over 18

Female Menstrual/Fertility Intake Form    * Please fill out General Medical History Form as well

Male Fertility Intake Form  * Please fill out General Medical History Form as well

Pediatric Intake Form (18 and under)

Massage/Reiki Intake Form 

Mayan Abdominal Therapy Intake Form

 

Patient Handouts

Thanks to Debra Betts author of "The Essential Guide to Acupuncture in Pregnancy and Childbirth" for handouts below.

Menstrual/Fertility Charting

Fertility Preparation

Male Fertility

Nausea and Vomiting During Pregnancy

Postnatal Recovery and Diet


Other Resources/Places/Practitioners We Love

American Board of Oriental Reproductive Medicine (ABORM)
http://www.aborm.org/

Resolve- The National Infertility Association
http://www.resolve.org/

Fertility Friend
Online ovulation calendar and fertility calendar
www.fertilityfriend.com/

Circle + Bloom MInd Body Programs for Fertility, Pregnancy, and Women's Health
http://www.circlebloom.com/

Resolve Peer-Led Fertility Support Group
http://www.resolve.org

Quest Fertility Support Group
http://questsupport.org/

Well-Rounded Maternity Center 
Local birth center offers classes, workshops, support groups, and boutique
http://well-roundedmaternity.com/

Placenta Encapsulation- Jillian Beglan
414-736-3244
Our acupuncturist Jillian is also a certified placenta encapsulation specialist. Benefits include improved milk supply, prevention on baby blues, reduction of postpartum bleeding, reduction of pain post-birth, and replenishment of essential hormones and nutrients to nourish mom after birth.

CARE Network of Wisconsin
Organization of local practitioners that work with women during childbearing years
http://carenetworkwisconsin.org/

Holistic Mom's Network
http://www.holisticmoms.org/

Postpartum Progress
Resource for those suffering with postpartum depression
http://postpartumprogress.com/

The Essential Connection (Heidi Jost)
Mayan Abdominal Massage Therapy
http://www.theessentialconnection.net/arvigo-therapy.html

Keenan Wellness (Denise Keenan)
Hypnotherapy, HypnoBirthing®, Breathwork, and Lomi Lomi Massage
http://www.keenanwellness.com

Wild Workouts & Wellness
Personal Training and Exercise Programs
http://wildworkoutsandwellness.blogspot.com/