Patient Forms

Did you book your initial appointment with us?

Please go to our New Patient Form Here – this will send you our policies, directions and important information you’ll need prior to your appointment and guide you through the below information.  It will also add you to out patient communication list to receive clinic and other important information to help you on your journey to wellness.
*new and current scheduled patients

Patient Forms

Download our Patient forms it will help you be able to relax prior to your treatment session.

* New Patient General Health intake form (all patients).
Womens Intake Patient Form ( Womens health only: fill in first two pages. Fertility patients fill in all three pages of the intake form)
Mens Fertility Intake Form

* All patients please fill in and bring the General health & intake form as well.

Appointment Cancellation Policy:
Cancellation policy: Day of cancellations patient pays full price for missed appointments. If you do have to cancel, please try to notify us by telephone 24 hours in advance. 1-619-813-9669

Fertility, Acupuncture & Chinese Medical Clinic Location in Encinitas

Our clinic is located in beautiful Encinitas, California.
1991 Village Park Way – Suite 203 B- Encinitas, CA 92024
Go to Google maps

Parking is available in the parking lot in front of Village park suites. If you arrive through the main level, come in through the main lobby/reception area ( you do not need to let the receptionist know that you have an acupuncture appointment), just open the door on the right, go up the stairs, and enter my clinic through the Body Therapy Arts Holistic Associates door (Suite 203 A).

If you are unable to use stairs, park in the upper lot and enter through the door at the back.

You can make yourself comfortable in our relaxing waiting area and I will be with you shortly.