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Clinical Forms

The following clinical forms are available. They require Acrobat Reader, which is offered for free from Adobe. If you do not have Acrobat Reader then click the gold icon to the right.
Forms Updated 2003
 
   
Auricular Diagnosis (2 pages) ADX
Auriculotherapy Treatment Form ATX
Informed Consent Form CONSENT
Health Distress Index Clinical (2 pages) HDI-40-C
Health Distress Index Research HDI-40-R
Health Distress Index Diary Form (3 pages) HDID-45
Health Distress Index Visual Analogue Scale (1 page) HDI-VAS-3
Health History Inventory (1 page) HHI-4
Participant Demographic Inventory (1 page) PDI-25
Pain Perception Report of Body (1 page) PPR
Oriental Medical Diagnosis Form OMDX-5
Treatment Outcome Study Guidelines TOSG
   

If after installing the Acrobat Reader, you are having trouble, download the PDF file to your hard drive and view it locally. To view it locally, after downloading, simply double click on it.

(Windows)

Right-click the link, then choose Save Link As from the pop-up menu. In the Save As dialog box, specify a name and location for the PDF file, then click Save.

 
   
(Mac OS)  
Place the cursor over the link and hold down the mouse button, then choose Save Link As from the pop-up menu. In the Save As dialog box, specify a name and location for the PDF file, then click Save.