New Patient Intake Form All forms are HIPAA compliant and fully encrypted for your peace of mind. Please take the time to let me get to know you a little better before I see you at my office. As we are currently dealing with unknowns concerning COVID-19, I will be scheduling a pre-screening session with you before I see you at the office.
Serving Silicon Valley & San Mateo Counties including the following cities of Campbell, Cupertino, Monte Serena, Los Gatos, Saratoga, West San Jose, Atherton, Los Altos, Menlo Park, Portola Valley, Redwood City, San Carlos, Stanford, Woodside Copyright 2011 SouthBay Pain & Sports Medicine Acupuncture. All rights reserved. San Carlos & Los Gatos (California) offices www.spasmacupuncture.com•firstname.lastname@example.org•(408) 600-1513