Amber Robidoux, LAc, LMT, CST

Helpful Forms

The following forms are designed to help us work together more easily:

Low Back Disability Index

Please fill out this form if you're experiencing back pain.

Neck Disability Index

Please fill out this form if you're experiencing any amount of neck pain.

Depression Assessment

Please fill out this form if you'd like to discuss your melancholy. (Doesn't necessarily need to go in your record.)

Headache Disability Index

Please fill out this form if you've been experiencing headaches.

Health History

Please print, fill out, and bring to your first appointment.

Intended Outcomes Form

This form will help you clarify your goals for your overall health and vitality, including our time together.

Note: To download Adobe Acrobat Reader for free, click here.