Patient History

Save time by downloading your initial patient intake form at home and bring it prior to your first visit!

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

CLICK HERE to download your patient history form

CLICK HERE to download Fertility Intake page 1

CLICK HERE to download Fertility Intake page 2

CLICK HERE to download Men’s Fertility Intake


Shelly A. Krahn, L.Ac
910 East Ohio Ave. Suite 101 B
Escondido, CA 92025
Office:(760) 743-6132
Second line (760)419-6863
shellykrahn@acu-docs.com