top of page

New Client Information

Welcome, New Clients!

We're excited to begin your personalized wellness journey and support you on the path to better health and balance.

Schedule Your Complimentary 15-minute Virtual Consultation

Begin with an informative 15-minute conversation with one of our providers, detailing services and products that may best serve your wellness needs.

Call us to Schedule:

(310) 826-2238

What to Expect

​

  • Tailored Consultation

  • Assessment of your wellness goals

  • Recommendations for further evaluation, if necessary

* New Client Benefit! Receive 10% off one Self-Care Treatment following your initial consultation.

Please ensure any required forms are completed and returned prior to your session. Forms will be provided via email, or can be downloaded below.

Smiling Person

New Patient Forms and Documents

Health History Questionnaire

Used to gather information about a new patient's medical background, including past illnesses, surgeries, medications, and health concerns.
To ensure we can focus on your wellness needs during your complimentary consultation, we request this is provided in advance.
* Required for initial consultation 

Informed Consent Forms

This form gives consent to the performance of Acupuncture and other procedures within the scope of practice of the AcuBar practitioners and/or other licensed providers.
* Required for first treatment

HIPAA Privacy Notice

Explains how your health information may be used, disclosed, accessed, and ensures your personal health information is protected and handled in accordance with privacy regulations, allowing us to provide you with the highest level of care and confidentiality.
* Required for initial consultation

Cancellation and Fees

Authorization form for Billing agreement to cancellation fees.
* Required for first treatment

General Patient Info

Collects non-medical details from patients, including contact information, address, and insurance details. It helps healthcare providers with identification, communication, and billing.
Providing this information ahead of time helps ensure we have all the necessary details to make the most of your consultation.
* Required for initial consultation

Treatment Session Instructions

This is your welcome letter containing guidelines and best practices for patients before, during, and after a treatment session.
Please read before your first treatment.

Senior Man Portrait

Discover Our Services

As you begin your path to better health, we encourage you to explore our carefully curated range of services. Each offering is designed to support holistic well-being and is grouped into the key pillars of Mind, Energy, and Body.

MIND

ENERGY

BODY

Call now to book your consultation

(310) 826-2238

Explore Our Exclusive Membership Opportunity

We're excited to offer a select group of clients the chance to join our Membership Pilot Program. As a pilot member, you'll enjoy early access to exclusive benefits and personalized wellness plans, all while helping us refine the program to offer the highest level of care.

​

Ask about this opportunity during your consultation and be among the first to experience our membership benefits.

bottom of page