Please print and fill out the required forms and bring them with you to your first appointment.

Please also read new patient tips

Required forms

Confidential Patient Information
Consent for Treatment
Insurance information or No Insurance
Past Medical History

 

Optional forms
New Patient Questionnaire

Upcoming Community Acupuncture Dates

click here for more info on community acupuncture

Sunday, January 20, 2013, 9am-noon

Focus: Neck Pain $15

Location:
Scholar Warrior
2140 Artesia Blvd., Unit A.
Torrance, CA 90504

Sunday, February 24, 2013, 9am-noon

Focus: Back Pain $15

Location:
Scholar Warrior
2140 Artesia Blvd., Unit A.
Torrance, CA 90504

Sunday, March 24, 2013, 9am-noon

Focus: Sports Injuries $15

Location:
Scholar Warrior
2140 Artesia Blvd., Unit A.
Torrance, CA 90504