New Patient Information

Welcome New Patient,

I am looking forward to meeting with you.  But before your appointment you will need to fill out the New Patient Questionnaire and sign the Disclosure Form.

Please click on each of the links below.  A pdf document will open up in this window.  From there you may either print out the document or save it onto your computer, fill it out, and then email it back to me. However, you must bring a hard copy of the Disclosure statement with a signature to your appointment.

If you run into any difficulty please email me.  info@blalancingyourhealth.com

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My office is at Indigo Village

Address:
1054 2nd Street
Encinitas, Ca 92024

Directions:

From North of Encinitas
I-5 South exit Encinitas Blvd.
Go west. (right)
Turn Left on to Hwy 101
Turn right on to ‘J’ Street
End corner of J and 2nd
right hand side of J

From South of Encinitas
I-5 North
Exit Encinitas Blvd
Go west. (left)
Turn Left on to Hwy 101
Turn right on to ‘J’ Street
End corner of J and 2nd
right hand side of J

Click HERE for Google Map