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Intake Forms

Holistic Zen is transitioning to electronic health records. New & existing patients will receive an email to register your account and sign policy & health intake forms. Please fill out online prior to your appointment.

Payment is collected before or at time of service (invoices sent prior to your appointment and can be paid online). If applicable, please bring records of any medications and/or supplements you take as well as your insurance card and wear loose comfortable clothing.  Lastly, please make sure you’ve eaten a light meal before receiving your treatment.

>> Notice of Privacy Practices (HIPAA Information)

>> Release of Health Information Form

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760-274-3346
4405 Manchester Ave. Suite 208
Encinitas, CA 92024


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