Call today, to find out how Traditional Chinese Medicine can improve your life and health!
By appointment only
512-657-0601
212 W. 10th Street Georgetown, TX 78626
(Corner of Rock and 10th, two blocks south of the Square)
Monday, Wednesday, Thursday, and Fridays:
8:00 AM-6:30 PM Saturdays:
9:00 AM-12:00 PM
Georgetown, Round Rock, and Austin
Major credit cards
and FSA's accepted.
Se Habla Espanol
Please download, print and fill out the following forms, and bring them with you to your first appoinment. The Privacy Policy is for your information only, and need not be brought in. Please sign all forms unless otherwise indicated. If you do not have a working printer, forms are available in the office.
| Notice of our Privacy Policy: | Privacypolicy.doc (no signature required, for your records only) |
| HIPPA Privacy Acknowledgement: | HIPAA release.pdf |
|
Notification regarding
evaluation by a physician: |
NotificationPhyEval-converted.pdf |
| Patient Intake Form (2 parts): | PtIntake-converted.pdf PtIntake2-converted.pdf |
| Informed Consent to Care: | InformedConsent.pdf |
| Arbitration Agreement: | Arbitration.PDF |