Acura Acupuncture Tokyo Shibuya
Download

Download Patient Intake Form

Before we begin your treatment, you are required to download the applicable forms below and fill them out before your visit.
If you have any trouble downloading and printing our forms, they are also available at our office.
You may either pick them up, or contact us if you would like them mailed to you, or complete the form in our office at the time of your first visit. (You are requested to come 15 to 20 minutes earlier if you wish to complete the form at the office.)

For General Treatment Download Form
For Female Fertility Treatment Download Form
For Male Fertility Treatment Download Form

アキュラ鍼灸院へのアクセス

Access

150-0002 Daini Eirai Bldg (第二栄来ビル) 8F 1-3-8 Shibuya, Shibuya-ku, Tokyo Japan
[From Shibuya Station]
8 min walk from Miyamasuzaka Exit or Exit number 11.
[From Omotesando Station]
8 min walk from Exit number B2.
[By Car]
Toll parkings are available around our clinic.