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)
Thanks to Debra Betts author of "The Essential Guide to Acupuncture in Pregnancy and Childbirth" for handouts below.
Postnatal Recovery and Diet
Other Resources/Places/Practitioners We Love
American Board of Oriental Reproductive Medicine (ABORM)
Resolve- The National Infertility Association
Online ovulation calendar and fertility calendar
12 Signs and Symptoms of Ovulation
Great tracking app based on Traditional Chinese Medicine- created by fertility acupuncturist and herbalist!
If working with Orchid, let us know and we can help get you started at a lower cost!
Circle + Bloom MInd Body Programs for Fertility, Pregnancy, and Women's Health
Resolve Peer-Led Fertility Support Group
Quest Fertility Support Group
Well-Rounded Maternity Center
Local birth center offers classes, workshops, support groups, and boutique
Lactation Support and Placenta Encapsulation- Kara Pitt- D'Andrea
Kara is also a certified lactation consultant and placenta encapsulation specialist.
CARE Network of Wisconsin
Organization of local practitioners that work with women during childbearing years
Holistic Mom's Network
Resource for those suffering with postpartum depression
The Essential Connection (Heidi Jost)
Mayan Abdominal Massage Therapy
Keenan Wellness (Denise Keenan)
Hypnotherapy, HypnoBirthing®, Breathwork, and Lomi Lomi Massage
Wild Workouts & Wellness
Personal Training and Exercise Programs