Acupuncture, Herbs, & Supplements since 1982
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Before Your Next Appointment

We look forward to seeing you soon.

RECORDS TO SEND PRIOR TO YOUR NEXT CONSULTATION
As soon as possible (and at least 1 business day prior to your appointment), please send the following information to:

Pine Street Clinic
124 Pine St
San Anselmo CA 94960
FAX: (206) 984-0152
EMAIL: records@pinestreetclinic.com

» A list of the things you’re specifically wanting to discuss during your appointment, including questions you may have or decisions you’re needing to make.

» Your written goals for the next 12 months. 

» An inventory list of all the herbs and supplements that you currently have at home. Please include the brand, dosage, and number of capsules/pills on hand. Click here for a blank version of this form.

» Any new medical records that you have not previous sent us, such as reports from your doctor including those from surgeries, prior treatments (such as chemotherapy or radiation), recent blood tests, X-rays, CAT scans, MRIs, and PET scans. Digital copies on CD are fine (original films are not necessary). If you are seeing (or have recently seen) any other complementary or alternative practitioners, any updates from them would also be useful, if available.

» If you haven’t already, a signed copy of our disclosure form. You can sign this form online electronically or you can print a copy and sign it with a pen.

FEE
Payment in full is due at the time of your appointment. We accept cash, checks, Visa, MasterCard, and Discover.

CANCELLATIONS & CHANGES
We request 48-hours notice for any appointment changes or cancellations. 

GENERAL REMINDERS
» We do not call to remind patients about their appointments.
» Plan to arrive at least 20 minutes before your scheduled appointment so that you can settle in and have some tea.

QUESTIONS BEFORE YOUR VISIT?
Please call (415) 485-0484 x 1.