Dr. Kimberly Brown ND, LAc
(408) 357-3422
3535 Ross Avenue, Suite 101, San Jose, CA 95124
Please arrive 10 minutes prior to your appointment time for us to collect your insurance information to fill out any additional paperwork. Print out the New Patient Intake Form and complete before your appointment. If you plan to fill out the intake forms in the office, please arrive 30 minutes before a naturopathic appointment and 15 minutes before an acupuncture or massage appointment. Bring your insurance card for all appointments. For naturopathic appointments, bring a list of supplements and medications, and any recent lab work.

Women's Naturopathic Intake Form

Women's Acupuncture Intake Form

Men's Naturopathic Intake Form

Men's Acupuncture Intake Form

(408) 357-3422 | info@drkimberlybrown.com | 3535 Ross Avenue, Suite 101, San Jose, CA 95124 | Copyright 2017 - Dr. Kimberly Brown - All Rights Reserved