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Acupuncture, Chinese Herbs & Beyond
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Patient Confidential Information

If you are the first time visitor, in order to save your time please do one of two things:

1. Sign up to the https://www.patientally.com to create a new account. Please fill up General information and Insurance from Profile. After you enter all your personal and insurance information add “Xuan L. Chang” as your new provider with ‘Provider ID Security Code: 104221’. ( Click HERE for more detail on how to sign up your Account, enter General and Insurance information, and request a new appointment)

OR

2. Please download, print and complete below form, bring it with you in order to save your time. You need to have a copy of Acrobat Reader on your computer to open these files. The reader is available free of charge from the Adobe website.

Patient Confidential Information

 
 

 
 
      10951 Sorrento Valley Rd. Ste I-D, San Diego, CA 92121 - Copyright 2011 Lily's TCM Center