PATIENT FORMS

Please complete these documents as thoroughly as possible. Some of the conditions may seem unrelated to your ailments, however they could play a significant role in the diagnosis and treatment.

All information is strictly confidential!

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ALTERNATIVE MEDICAL CLINIC
 Richard C. Hsu, L.Ac.
2343 Huntington Dr.
San Marino, CA 91108
San Marino Office:626-793-5700
Northridge Office:818-993-1089
Santa Monica Office:310-400-9198