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Forms

Please Fill Out And Email To Mend Before Your Scheduled Appointment.

You can also take a photo of the forms with your mobile device, or download Genius Scan, and send it to mendfamilyacupuncture@gmail.com. That way we will have your insurance verification done well before your appointment. ALL forms must be completely filled out before we can treat you. 

Thank you in advance!

Insurance Verification

New Patient Health History

Cover-19 Questionnaire

 

 

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Call 323-459-2000 or

Click Here

To Make An Appointment.

Mend is located in the heart of Los Feliz Village.

2016 Hillhurst Ave.

      Mend Family Acupuncture Location

* There is plenty of street parking as well as 1 hour parking across the street at Albertson's.

Directions to Mend


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