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New Patients Forms:

Please fill out this form BEFORE your appointment
Intake form (Click to open fillable PDF form) Fill out and click "SUBMIT FORM" button (top right)

Note:
If you don't have email, you can complete the form, print it out and bring it with you.

Mac users: open form using Acrobat. If you don't have it you can download it here

PC and Mac step by step instructions click here.

All patients:

How to prepare for your appointment:
Please wear comfortable, loose-fitting clothing.
If possible, please wear shorts or pants that easily pull up past the knees and a top that allows for access to your shoulders and arms. Please
do not wear one-piece garments, such as a dress. If it's easier, you can always bring a change of clothes with you to the appointment.

It is very important that you
eat at least two hours before your appointment. Even a small, healthy snack is better than an empty stomach.
Also, avoid excessive caffeine and/or sugar.

Please note:
You will not be treated if you are under the influence of alcohol or drugs during your appointment. This will be considered same as a "no-show"
and you will be charged for the scheduled appointment.

Privacy Policy:
Read or print out our privacy policy here.
Santa Monica
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I'm very proud to offer acupuncture treatments and be a part of the team at the:

The Akasha Center for Integrative Medicine

Located in the heart of Santa Monica (520 Arizona Avenue), this clinic offers patients access to
medical doctors (MD), osteopathic doctors (DO), naturopathic doctors (ND), acupuncture, psychotherapy and
massage therapy all under one roof. It is a unique and patient-oriented practice that prides itself on the motto
"see one of us, get ten of us".

To schedule an appointment please call
310.451.8880

For all residents within the Santa Clarita Valley, we offer acupuncture house-calls.
Please call
661.904.6919 to schedule your appointment.
Santa Clarita





We do not accept insurance, but we will provide you with a receipt that you can submit to your insurance company
for reimbursement. We advise that you contact your individual health insurance provider and ask if they cover
acupuncture. If you do have acupuncture coverage, ask what percentage will be reimbursed for an "out-of-network"
acupuncture treatment. Some insurance plans cover as much as 80% of fees so we really encourage patients to get
in touch with their provider.
Now, part of the Akasha Center for Integrative Medicine in Santa Monica ~ 310. 451. 8880
House calls in Santa Clarita ~ 661. 904. 6919
© 2010, Health Quest Acupuncture
In Santa Monica - Akasha Center for Integrative Medicine, 520 Arizona Avenue, Santa Monica  ~  310.451.8880
In Santa Clarita Valley - House Calls only  ~ 661.904.6919