NEW PATIENT FORMS

New Patient Forms
1. Please complete Forms 1 and 2 below to bring to your first visit.
2. View the HIPPA form for patient privacy information.

new_patient_form.pdf
File Size:	547 kb
File Type:	pdf

Download File

health_history.pdf
File Size:	1478 kb
File Type:	pdf

Download File

hippa_notice-1-4.docx
File Size:	52 kb
File Type:	docx

Download File

*Nutrition and Herbal Consultation Patients: please bring to your appointment all medications, vitamins, herbs, or nutritional supplements that you take or are considering taking.

Located in Bankers Hill
Easy access from Downtown and Hillcrest

Scott Fowler, LAc
Acupuncture, Clinical Nutrition & Herbs

Acupuncture clinic near Hillcrest, Bankers Hill, and Downtown San Diego

Acupuncturist, Herbalist and Nutritionist in San Diego

2214 5th Ave San Diego, CA 92101 SDNaturalMedicine.com

For questions or to schedule an appointment please call: 619-560-8828 (7 days a week)

Clinic Hours:
Tuesdays 10am - 8pm
Thursdays 10am - 8pm

forms

New Patient Forms1. Please complete Forms 1 and 2 below to bring to your first visit.2. View the HIPPA form for patient privacy information.

New Patient Forms
1. Please complete Forms 1 and 2 below to bring to your first visit.
2. View the HIPPA form for patient privacy information.