New Patients Forms

Offer soft lighting, music, heat lamps and a gentle touch.
Pure Life Treatment Rooms

Click the links below to download the forms in Adobe PDF. You may need to install Adobe Reader to read, save and print the forms. Download Adobe Reader FREE here:

Acupuncture Patient Forms:

New Patient Forms for Erika Barrantes, L. Ac.
Metabolic Assessment Form & Neurotransmitter Assessment Form

Go to Wellness Check Online to fill out your questionnaire by clicking on the link below:

Wellness Check Questionnaire

Free Wellness Newsletter

Delivered right to your email inbox:
Newsletter Signup

Pure Life Area
Waiting area at Pure Life Acupuncture and Wellness Center
Homeopathic remedies
We offer a variety of homeopathic remedies.
Pure Life Rooms
Welcome to the clinic!