New Patients

Welcome to Goleta Acupuncture Wellness Clinic. If you are new to the Clinic, please print and fill out the forms below and bring them with you to your first appointment.


In an effort to better serve you, the following suggestions are provided to help you have a safe and relaxing experience with acupuncture:

  • Download, print, fill out, and sign the forms before your first appointment.
  • Please allow approximately an hour and a half for your first visit and one hour for subsequent visits
  • Payments, in the form of cash, check, Visa or Master card are expected at the time services are rendered.
  • Please bring a list of current medications you are taking, include any prescriptions, over-the-counter medications, herbal supplements, and vitamins
  • Please bring any lab or medical reports relevant to your condition.
  • Wear loose, comfortable clothing. Acupuncture points are located all over the body. Many of the acupuncture points that are commonly used are located between the wrists and elbows and the ankles and knees. You will be more comfortable if your clothing can be easily rolled up to your elbows and knees.
  • Have a light meal a half hour to an hour prior to your visit. Acupuncture is not preformed on individuals who are fasting. Being over-hungry increases the risk of nausea or dizziness. On the other hand, prior to your appointment please avoid foods that easily upset your stomach, such as rich, greasy, fried, or extremely spicy foods.
  • Avoid alcohol on the day of your treatment. Intoxication will increase the risk of shock. It is also not advisable to become intoxicated after the treatment.
  • After the treatment, drink plenty of water to flush out the toxins and blockages we will be clearing in the body.
  • Please do not hesitate to discuss any questions you might have with us.

Thank you and I look forward to meeting with you!

Call (805) 895-5507 for an appointment today.

1815 State Street, Suite E
Santa Barbara
CA 93101