Forms

Forms to print, fill out and and bring into your first appointment:

Patient_History_Form.pdf  Acupuncture Clients

Office_Policy&Financial_Agreement.pdf  All Clients:  (Print & sign)

Privacy_policy.pdf  All Clients:  (read only)

Arbitration_pdf.pdf  Acupuncture:  (read only)

Release_of_records.pdf 
(Special request ONLY)

A Multi-Dimensional Approach to Wellness
310-488-6077
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