PATIENT FORMS

If you are a new patient, please print and complete the forms below and bring them with you to your first appointment. If you are unable to print and complete, please arrive 10 minutes prior to your appointment to complete this necessary paperwork.

Initial Acupuncture Visit
[ download ]

Health Questionnaire (NTAF)
[ download ]

Metabolic Assessment Form
[ download ]

 


ABOUT ORIENTAL MEDICINE

Traditional Oriental Medicine is based on the theory that health is achieved through the delicate balance and smooth flow of Qi.

Sterile, fine needles are inserted into the skin at specific points, known as acupoints, located along energy pathways called meridians to stimulate and restore harmonious balance.

Modern electromagnetic technology has confirmed the existence and location of acupoints. Because each individual is unique, no two treatments are the same.

 

 

 

 

 

 

 

  • 1136 LOMA AVENUE, SUITE 201
  • CORONADO, CALIFORNIA 92118
  • 619.435.6770