Welcome to 
City Acupuncture

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Your health is in good hands

Before your first treatment...
We need you to fill out a New Client Waiver. This form gives us the basic information we need to proceed. The form is filled out and submitted online and should only take 5 minutes to complete.

Parents: if you're submitting a New Client Waiver for your child, first fill out the form for yourself as if you're the one being treated. Then go back to the link and click on the "Add a Minor" option to complete the form for your child.



New Client Waiver

If you're seeking comprehensive care, which might include custom herbal prescriptions...
We also need you to fill out a  Health History Form . This form is also filled out and submitted online. It might take up to 15 minutes to complete.

Health History Form

What you should know before arriving for your appointment...
  • Wear or bring comfortable clothing. Sleeves should be able to be pushed up above the elbows and pant legs above the knee without restriction. Your belt, shoes, watch and jewelry will need to be removed for your treatment. Sometimes your shirt or pants may need to be removed as well in which case you'll be draped for privacy during your treatment.
  • You should have something to eat or drink at least a few hours before your treatment. It is best not to be too hungry or too full.
  • Your practictioner may read your pulses and look at your tongue as part of the assessment process. If you brush your teeth before your treatment, do not brush your tongue.
  • City Acupuncture is located at 300 S Park Ave. We are in the Lost Barrio, south of Broadway, east of Euclid.
  • Parking is on the street.
  • Enter through Wildcat Crossfit. You'll be received near their front desk and escorted to the treatment room.
  • Treatments typically take about an hour. Give yourself a little buffer time, however, to integrate your treatment before moving on to the next activity in your day.