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Your First Visit

Come to your first treatment wearing loose, comfortable clothing. Eat a snack or light meal before coming in. Be prepared to stay for 90 minutes, as we will thoroughly discuss your health history, answer any questions and come up with a treatment plan, which could include acupuncture, medicinal herbs, or bodywork therapy. Then you enjoy your first acupuncture treatment which can last anywhere from 45 minutes to an hour. 

Please fill out the forms below before your first appointment. It can save a lot of time that could otherwise be dedicated to your treatment! These forms are needed for appointments at either 78 Main Street in Pepperell or at 1 on 1 Self Indulgence Spa and Sanctuary at 457 Great Road in Acton. 

Intake Form

The most important form for our understanding of your health history. 


Privacy and Payment

HIPPA compliance and our payment policy. Please sign and date before treatment.


Informed Consent

This form is your consent to receiving treatment from Life Gate Acupuncture.