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Blossom Acupuncture Santa Cruz

Serina Marichiba, L.Ac, Dipl.OM                                                Call today:  831.325.9338


New Patients:  Please review the following documents prior to your first visit.  Thank you for taking the time to print and fill out the health intake form.   This form gives me a more complete understanding of your health history, and by filling out the form ahead of time, you enable me  to better serve you in the clinic.  If you are new to acupuncture, feel free to read the Frequently Asked Questions.

Initial Patient Health Intake Form
File Size: 174 kb
File Type: pdf
Download File

Office Policy and Fee Schedule
File Size: 54 kb
File Type: pdf
Download File


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