New Patient Information

If you are a new patient, please fill out these forms and bring them to your new patient appointment. This will allow you to spend more time with your provider and expedite your whole appointment.

New Patient Form (EN)

New Patient Form (KO)

Initial Health Status

Fertility-Questionnaire

New patient form

English

New patient form

Korean

ASH Patients

Kaiser, Scan, Health Net

Fertilty Program

Preparing for Your Appointment

Please come prepared to talk about your health, health history, and lifestyle. Your provider will be asking many questions regarding your health and will be interested in any details you can provide. In Chinese medicine your health is more than just your conditions and symptoms, as such we would like to understand your lifestyle and hopefully you as a person to provide you with the best care possible.