Lotus Center of Oriental Medicine  
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Lotus Center of Oriental Medicine - Intake Forms
Office Procedure and Patient Introduction

This clinic specializes in acupuncture care.
We ask you to fill out the form below for either consultation or examination purposes, and bring it with you to your appointment or eMail it to info@lotuscenteroriental.com.

Examinations are done routinely to determine the nature and extent of your problems. The acupuncturist will explain the level of examination necessary for your condition.

download the Lotus Center Intake form here
 

Dr. Stephanie A. Lum, L.Ac.,O.M.D., R.C.P.
French Quarter : 907 Irwin Street, San Rafael, CA 94901
415.459.2245
    |    Appointments@LotusCenterOriental.com
Lotus Center accepts Visa, Master Card and Discover