Intake Forms & Resources

SIMPLE INTAKE FORM |

CUPPING CONSENT FORM |

CUPPING INFO SHEET |

HEALTH SUMMARY FORM |

CASTANO WELLNESS ARBITRATION |

VA MASSAGE THERAPY FORMS |

VA - BACK - DISABILITY |

VA - NECK FORMS |

VA - FOOT ANKLE FORMS |

VA -SHOULDER - NECK FORMS |

KIDNEY INFO SHEET |

LIVER INFO SHEET |

STOMACH INFO SHEET |

HEART INFO SHEET |

LUNG INFO SHEET |
Castaño Wellness
Private Practice of
Becky Castaño LAc, Dipl.OM
Mariano Castaño CCM, CMT
1429 E Thousand Oaks Blvd STE 103
Thousand Oaks, CA 91362
805 768 4082
bcacupuncture.square.site
http://marianocastano.com
Private Practice of
Becky Castaño LAc, Dipl.OM
Mariano Castaño CCM, CMT
1429 E Thousand Oaks Blvd STE 103
Thousand Oaks, CA 91362
805 768 4082
bcacupuncture.square.site
http://marianocastano.com