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Congratulations on taking the first step towards true healing.

For New and Return Patients

For New Patients

Please download, print, and complete these New Patient forms prior to your initial appointment. If you don’t have a printer, we also have them available at the office. Please arrive 15 minutes early to your appointment to allow enough time for filling out the forms.

Intake Forms

To prepare for your first visit, it is best to wear comfortable, loose-fitting clothing for your comfort. Sleeves and pants that can be pulled up to your elbows and knees are ideal. Also, please make sure you do not arrive hungry to your appointment. Eating a regular meal or snack before the treatment will ensure your comfort while on the table and helps to achieve optimal results.

Payment is in the form of cash, check, or credit card only. Thank you for your understanding. We look forward to meeting you very soon!

If you are unsure whether your health benefits cover acupuncture, please enter your information below in the Insurance Verification Form. We will respond within 48 hours to let you know of your coverage.

Insurance Verification Form

Your Full Name (required)

Your Email Address (required)

Your Complete Address (required)

Type of Insurance(required)

Group Name

Member ID

Date of Birth(Required)

800 phone number to call on the back for providers

What would you like to be treated for? (Pain, headaches, etc)(required)

For any questions, you may email Grace

Email Grace

We invite you to get acquainted with us and learn how acupuncture can benefit you. Download a copy of Grace’s free e-book.

You may also reach us at 510.282.3200 to schedule a consultation and discuss your needs in further detail. Your questions and concerns are always warmly welcomed.