New Patient Forms
Please download, print, fill out & bring the following forms to your first appointment at Green Lotus.
Thank you!
Intake Form – Please print and fill out
If you are coming in for treatment related to a motor vehicle accident, please download and fill out these forms as well.
Mary Jean Brinkman, LAc
“...You are fantastic and have brought so much relief to my life, I cannot thank you enough and look forward to working with you for many years. It is funny how now I just think acupuncture is a part of maintaining a healthy body and mind. I cannot thank you enough for all your help." - G.F.
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Green Lotus Acupuncture is an Acupuncture and Chinese Herbal Medicine clinic located in the Foster/Powell area of SE Portland near 52nd Avenue.
We serve all of Portland, Clackamas, Milwaukie, Gresham, Troutdale, West Linn, Oregon City, and the surrounding areas.
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