Visit Preparation & Forms

If you have spoken with Dr Villanova, you have been directed you this page. Please complete the appropriate forms & review the pre-visit recommendations

Submitted forms will only be reviewed once you have an appointment scheduled with Dr Villanova. If you are not a scheduled patient with Dr VIllanova and submit these forms, your forms will not be read and will be eliminated

Before your Allergy Visit

Please gather and bring with you anything you’d like to be tested &/or treated for. SAAT allergy relief acupuncture is particularly well suited for testing complex substances, including your own pet hair, dust from your home, medications, supplements, processed & other foods

Please consider, collect and place in a zip closure, small plastic bag samples of what you’d like tested – things like a particular milk substitute, vacuum cleaner dust, pollen/dust from outside your home, pet hair brushings, foods you particularly like and/or eat a lot of like breakfast cereal, etc

Forms

Please complete and submit the forms as instructed. You will be asked to create a Jotform account so that your personal health information is kept private (HIPAA compliant). You will never be contacted by Jotform. Once submitted, only Dr Villanova will view your forms..Please note that these forms are most easily completed on desktop – but have also been optimized for mobile devices

If you have questions regarding a consent form, please do not sign that consent form. Dr Villanova will answer your questions in person and ask you to sign the form at your initial visit

All patients

1) Welcome – Office Policies and Procedures

2) Practice Policy Consent & HIPAA

SAAT Allergy Relief Acupuncture patients

1) General Medical History – Brief

2) Allergic Condition Medical History

3) SAAT Allergy Relief Acupuncture Consent

4) SAAT Allergy Relief Acupuncture Aftercare Instructions

Comprehensive Consultation patients

1) Comprehensive Asian Medical History

2) Acupuncture Consent