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                    Ohana Acupuncture & Herbs

                    Health History 

                    We offer you the option of downloading and printing your new patient forms to save you some time upon arrival at our office. 

                    New Patient Intake and History form
                    File Size: 114 kb
                    File Type: pdf
                    Download File

                    Insurance Acknowledge form
                    File Size: 24 kb
                    File Type: pdf
                    Download File

                    Consent for Treatment and Exam
                    File Size: 28 kb
                    File Type: pdf
                    Download File

                    Privacy Practices Notice
                    File Size: 62 kb
                    File Type: pdf
                    Download File

                    Hippa Form
                    File Size: 31 kb
                    File Type: pdf
                    Download File

                    Redondo Beach: 923 S. Catalina Ave., Ste B * Monrovia: 133 W. Lemon Ave. * Direct: 626.290.7999 * Fax: 626.209.0338