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Intake Forms, Questionnaires and Charts

Download PDFs using the buttons below.

Patient Intake Form
AllergiCare/NAET Intake Form
Personal Injury Questionnaire Form
Metabolic Assessment Form
Preparations for Surgery
Amino Acid Therapy Chart
Pyroluria Questionnaire

CONTACT BY EMAIL

csavoca20@gmail.com

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Offices in Santa Cruz & Monterey Counties

Soquel location:
Tuesday, Thursday and Friday

Monterey location:
Mondays only

csavoca20@gmail.com

Monterey Office

1077 Cass St., Suite C
Acubloom - A Healing House
Monterey, CA 93940

831-648-1763

Santa Cruz Office

3121 Park Ave, Suite H
Soquel, CA 95073

831-479-3760

© 2025 Charles T. Savoca, L.Ac. • All Rights Reserved.

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