Acupuncture, Herbs, & Supplements since 1982
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Instructions for New Patients

Welcome to Pine Street. We look forward to meeting you soon.

INFORMATION REQUIRED PRIOR TO YOUR FIRST APPOINTMENT

Before your appointment, Michael will be doing a full case review as well as additional research. To assist, please send Michael all the information he requests as soon as possible (and at least 2 days before your appointment).

You can send this information by mail, fax, or email (details below).

Please send:

» 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.

» Things you've heard or read about that you want to hear Michael's opinion on. (Examples: "My friend did..." or "I read online about...")

» Details about who you’re currently working with and what treatments you’re currently doing or are planning to do.

» Details about your current diet, weight, exercise regimen, and stress level.

» A food diary from the past week. Click here for a blank version of this form (PDF Format). 

» Biographical information, such as your own personal summary of your health history, including how you’re feeling, what has worked and what has not, and various challenges and successes with your treatment you’ve encountered. Please include any information you think is important or that you feel may have contributed to your current medical situation.

» List of all medications, herbs, supplements, and over the counter pharmaceuticals you are currently or have recently taken. Please include current dosage. Click here for a blank version of this form (PDF Format).

» A recent photograph (optional).

» 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.

» Copies of most recent medical records, 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 complementary or alternative practitioners, their report would also be useful, if available.

Send all of the above at least 2 business days before your appointment to:

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

FEE
Payment in full is due at the time of your appointment. We accept cash, check, and all major credit cards. This includes the time Michael spends before the appointment reviewing and researching your case, the time during the appointment itself, and the time spent afterwards doing additional research and drafting his report.

REMINDERS
Please note that we do not call to remind patients about their appointments.

ARRIVE ON TIME
Please plan to arrive at least 20 minutes prior to your scheduled appointment time. Traffic and parking can be unpredictable...give yourself plenty of time so that you are not late.

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