To obtain more information about our services or to book an appointment, use the forms and resources below.

FOR QUESTIONS AND TO SCHEDULE AN APPOINTMENT:





    New Patients:

    PATIENT INTAKE FORMS

    For your convenience, you can download our intake forms here (PDF file format) to review, fill out and print and/or email to us in advance of your appointment.

    It typically takes about fifteen minutes to fill out the paperwork. By doing this ahead of time, you give yourself time to be thorough and won’t feel rushed going into your treatment. In addition to the standard medical questions, the doctor will want to know about your emotions and lifestyle habits for a more integrated health assessment.

    Please download the patient intake forms and complete them prior to your first visit.

    Download our Patient Intake Form

    Aerin Alexander Dr. Miles Reid

    Energy Life Sciences Institute

    2001 S. Barrington Avenue Suite 117
    Los Angeles, CA 90025

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