Universal Medical & Acupuncture Clinic

Helpful Forms

The following forms are designed to help us work together more easily:


We accept all insurances including Calviva, Kaiser through ASH(American Specialty Health), except Fresno unified school or Sante. PLEASE CONTACT YOUR INSURANCE TO MAKE SURE THAT THE PLAN THAT YOU HAVE COVERS ACUPUNCTURE.

Client Intake Form

If you are a first-time client, please print this form, complete it, and bring it along to our first session.

Intended Outcomes Form

This form will help you clarify your goals for your overall health and vitality, including our time together.

Note: To download Adobe Acrobat Reader for free, click here.