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Online Forms

Acupuncture Fertility Center, Inc. and Galena AcuSpa offer our client forms online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary forms, print them out and fill in the required information.
  • Fax your printed and completed forms to (858) 356-0778 or bring them with you to your appointment.

Fertility Clients

As well as a general overview of your fertility history, this form set provides us with a history and current state of your health.  If you are seeking acupuncture treatment to assist with conception, please click on the form below to download and print the Fertility Initial Intake forms. This is the only form set you will need.


General Care Clients

This form set provides us with a history and current state of your health.  If you are already pregnant or seeking acupuncture treatment for something not related to fertility, please click on the form below to download and print the General Initial Intake forms. This is the only form set you will need.


Massage Clients

If you are seeing our massage therapist for a massage and are not having acupuncture, please click on the form below to download and print the Massage Intake form. This is the only form set you will need.

Download & Print Form



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Office Hours

Our Regular Schedule

Monday:

10:00 am-6:30 pm

Tuesday:

10:00 am-6:30 pm

Wednesday:

10:00 am-6:30 pm

Thursday:

10:00 am-6:30 pm

Friday:

10:00 am-6:30 pm

Saturday:

10:00 am-2:00 pm

Sunday:

Closed

Locations

Find us on the map