Below you will find the intake forms for Acupuncture, Massage Therapy, and Manual Therapy. Please fill out the appropriate form prior to your first appointment. If you have been with us before, but are seeing another practitioner, please make sure you fill out the appropriate form for the service you will be receiving. Each service requires a separate intake form for consent for the service rendered.

Note: A new intake is required every Year.


As of October 1, 2019, Sustainability Wellness will be implementing a 48-hour Cancellation Policy. If the appointment is a No Call/No Show or Canceled under 48 hours of your appointment time, you will be charged the full amount of your session. You may cancel via phone call, email or through the online scheduler.

Due to a high volume of No Call/No Shows and Cancellations under 24 hours, we will be updating our policy. The new cancellation policy will take effect October 1, 2019. Our software will alert and remind you 72 hours prior to your appointment. This will allow you to cancel your appointment in advance. 

We truly appreciate your consideration and thank you for allowing us to work with you on your wellness journey!