Anaheim healing centerComplete the form below to request your appointment in Orange County, or call us at (310) 282-8882.

Medical Request Appointment Form

  • This field is for validation purposes and should be left unchanged.
  • Complete this form to request your initial appointment. Any specific care is addressed during your appointment. You may indicate your preferred method of how we contact you (phone, email, or text) in your message.

    Before your initial appointment, we require a payment of $25 via Zelle, or Venmo, which goes toward your initial visit. You make the payment right after we reserve an appointment time for you. Thank you!