RESOURCES

PATIENT FORMS

If you are a new patient, please complete the "new patient forms” below (fillable PDF), print them out (please also sign them and complete the diagram section) and bring them with you to your initial appointment. You may also choose to scan the completed forms and email them prior to your appointment. If you are considering using insurance, please fill out our secure online verification form, or give us a call before making your first appointment.

New Patient Forms

REFERRALS

Dr. Ron Cottrell, DC, Dr. Anthony Werbelow, DC / Active Mobility Chiropractic
Chiropractic, Exercise Rehabilitation, Massage
760-599-4900 :: active1mobility@gmail.com :: www.activemobilitychiro.com

Dr. Colin MacKay, DC, Dr. Sarah McKay, DC / Roc Wellness Center
Chiropractic, Massage Therapy, Acupuncture
619-280-0201 :: general@rocwellness.com :: www.rocwellness.com

Dr. Samantha Dean Fauce, DC, Dr. Michael Fauce, DC
Chiropractic
760-434-9454 :: drfauce@carlsbadchiros.com :: www.carlsbadchiros.com

Betty Parmenter, PT
Physical Therapy, Active Release Techniques / A.R.T
760-203-8474 :: bparmenter.rehab@gmail.com :: www.bettyparmenterphysicaltherapy.com

Silvia Segura
Massage Therapy
760-599-4900

Dr. Damon Cobb, DO
Obstetrics and Gynecology
858-485-0130 :: damoncobbobgyn.com

Stephanie McNamara, MSN, WHNP, CNM
Certified Nurse Midwife, Women’s Health Nurse Practitioner
575-635-7773 :: stephanie_mcnamara@me.com :: www.stephaniemcnamara.com

Annely Allen CLEC, CD(DONA) / The Bump Coach
Birth / Labor Doula , Lactation Educator
760-429-3524 :: doulaannely@att.net :: www.thebumpcoach.com

Jenna Anderson CD(DONA) / The Birth of a Doula
Birth / Labor Doula
760-809-2551 :: doulajenna@gmail.com :: www.thebirthofadoula.blogspot.com

Petra Vetter, CMT, CPMT, CD, PPD
Massage Therapy ; Birth / Labor / Postpartum Doula
858-774-5480 :: petravettermassagetherapy@gmail.com :: www.bellababydoula.com

Willow Buckley, CCH, CD(DONA) / Balancing Your Health
Classical Homeopathy ; Birth / Labor Doula ; Placenta Encapsulation ; Author
760-815-8027 :: willow@balancingyourhealth.com :: www.balancingyourhealth.com

Liza Janda / Yoga Janda
Bradley Method ; Prenatal Yoga
760-716-6386 :: liza@yogajanda.com :: www.yogajanda.com

Babies in Bloom
Boutique ; Pregnancy and Childbirth Services ; Birth Center
760-940-2229 :: www.babies-in-bloom.com

Christa Orecchio, CN, HHC / The Whole Journey
Clinical Nutritionist ; Television Host ; Author
thewholejourney.com

Lindsay Sherry, CN, HHC / Real Healing Nutrition
Clinical Nutritionist, Holistic Health Coach
619-517-2377 :: www.RealHealingNutrition.com

Wendy Sellens / Pink Image
Breast Thermography
619-723-8769 :: wendy@mypinkimage.com :: www.mypinkimage.com

Kevin Root, CPT, CES, FMSC
Personal Training
619-535-ROOT (7668) :: k.r.root@gmail.com

Emily Page, CSCS, NASM-CPT
Personal Training
248-225-7980 :: pageemily@me.com

Sher Russell, BA., C.Ht./Hypnosis From the Heart
Hypnosis, Hypnotherapy and HypnoCoaching
760-940-9000 :: www.hypnosisformindandbody.com

Carol Yeh-Garner, LCSW, CH Young Living Essential Oils
858-837-1259 :: www.AWellLivedLife.Net

LINKS

California Acupuncture Licensing Board – www.acupuncture.ca.gov

National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) – www.nccaom.org

National Institute of Health – www.nlm.nih.gov

Pacific College of Oriental Medicine – www.pacificcollege.edu

National Center for Complementary and Alternative Medicine (NCCAM) – nccam.nih.gov

Acupuncture Today – www.acupuncturetoday.com

Standard Process – www.standardprocess.com

Metagenics – www.metagenics.com

Thorne Research – www.thorne.com

Blue Poppy – www.bluepoppy.com