Online Forms

New Patient Health History Form – Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Adult: Online Intake

Child: Download & Print Form


Acupuncture Intake Forms – Required

Intake Form

Self-Assessment Form

Main Location

Address

2535 106th St,
Urbandale, IA 50322

Monday  

10:00 am - 1:00 pm

3:00 pm - 6:00 pm

Tuesday  

3:00 pm - 6:00 pm

Wednesday  

10:00 am - 1:00 pm

3:00 pm - 6:00 pm

Thursday  

10:00 am - 1:00 pm

3:00 pm - 3:00 pm

Friday  

10:00 am - 1:00 pm

Saturday  

Closed

Sunday  

Closed