Please take the time to print and fill out one of the following intake forms before your visit and bring it with you to your appointment.

Regular Consent and Intake Form

Consent and Intake Form for Women's Disorders (GYN)

We also have copies of these forms in our waiting room, so if you are planning to fill them out in the clinic, please come an extra 10-15 minutes early.


Basal Body Temperature Chart


You are truly a miracle worker; I was at a point with my attempts at becoming pregnant that I felt so hopeless until I came to you at AOMA; you helped my body become more healthy and helped me in becoming more positive and less stressed;

My son is continuing to become a strong healthy little boy… he is 28 months old soon and is already at the high end of growth charts; my husband and I love him so much… I always recommend acupuncture to anyone that is having issues with fertility; I have attached a couple of pictures of him when he was an infant and also a more recent picture; thank you so much!

Irma