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


California Acupuncture Licensing Board –

National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) –

National Institute of Health –

Pacific College of Oriental Medicine –

National Center for Complementary and Alternative Medicine (NCCAM) –

Acupuncture Today –

Standard Process –

Metagenics –

Thorne Research –

Blue Poppy –