Forms
Please download, print and bring completed form to your next appointment, or fax to: (415) 421-1116
Medical History Form (.pdf file)
Female Fertility History (.pdf file)
Male Fertility History (.pdf file)
Basal Temperature Chart (.pdf file)
Metabolic Assessment Form (.pdf file)
Neuro Assessment Form (.pdf file)
Resources for Reading
The Infertility Cure by Randine Lewis, P.HD.
Inconceivable by Julia Indichova
Healing with Whole Foods by Paul Pitchford
Endometriosis by Mary Lou Ballweg
Between Heaven and Earth by Harriet Beinfield L.Ac. and Efrem Korngold L.Ac. - A basic overview of Chinese Medicine written for the lay reader.
Resources Online
ACUPUNCTURE SITES:
www.aborm.org
American Board of Oriental Reproductive Medicine.
www.alternative-therapies.com
Alternative Therapies in Health and Medicine.
www.csomaonline.org
The California State Oriental Medicine Association.
www.nccam.nih.gov
National Center for Complementary and Alternative Medicine.
www.norcalfertility.com
Coalition of Bay Area Chinese Medicine practitioners focused on women's and men's fertility issues.
www.who.int/topics/acupuncture/en/
World Health Organization’s information on acupuncture.
FERTILITY SITES:
www.acog.org
American College of Obstetricians and Gynecologists.
www.asrm.org
American Society for Reproductive Medicine.
www.cdc.gov/reproductivehealth
Center for Disease Control.
www.endometriosisassn.org
The Endometriosis Association.
www.healthguide.howstuffworks.com
General information on infertility, the risks, diagnosis and treatment.
www.naturalresources-sf.com
A local resource for pregnancy, childbirth, and early parenting.
www.soulcysters.com
Polycystic Ovarian Syndrome Resource.
www.resolve.org
An online resource for those suffer with infertility.
www.theafa.org
American Fertility Association
ENVIRONMENTAL SITES
www.consumerlab.com
Consumer Lab: Independent Assay of Supplements.
www.epa.gov/safewater
The EPA site.
www.ewg.org
The Environmental Working Group - get the latest information about the safety and chemical background on almost 15,000 popular health and beauty products.
www.iaomt.com
International association of oral medicine and toxicology. Find a biological dentist. Be sure to watch their two videos on mercury and the brain.
www.naturalpath.com
Your green resource for shopping, lifestyle, and general health information.
www.nrdc.org
National Resource Defense Council Information on water issues the EFA and the FDA
GENERAL HEALTH AND DIGESTION SITES
www.celiac.com
Resource for Celiac Disease & Gluten Free Diet.
www.fungalresearchgroup.com
Fungal Research Group-Resource for Information about Environmental Mold Toxicity and Exposure.
www.hpakids.org
Holistic Pediatric Association.
www.spectracell.com
Resource for nutritional testing.
www.wholefoodsmarket.com
Offers information on gluten free shopping, recipes and more.
FUNCTIONAL MEDICINE SITES
www.worldhealth.net/p/clinical-research-functional-medicine
Describes the benefits of Functional Medicine, a fast developing field of treatment.
www.functionalmedicine.org
Functional Medicine Institute.
PEOPLE WE LOVE
www.berkeley-acupuncture.com
Christina Martin, L.Ac., acupuncture in the East Bay.
www.balancecommunityacupuncture.com/
Lisa Schwartz, L.Ac., who's offices offer community acupuncture in Los Angeles
www.acubalance.ca
Acupuncture clinic in Vancouver specializing in fertility.
www.boardsportsschool.com
Jane and Rebecca provide all the fun at Alameda beach. If you are not having enough joy in your life, get thee to board sports school.