• Home
  • Make An Appointment
  • Locations
  • Calendar
  • Akasha Recommends
  • Contact Us
  • Health Blog
  • Facebook
  • 310-451-8880
The Akasha Center for Integrative Medicine
  • Why Akasha?
    • Mission Statement
    • Akasha In the Media
    • Videos
    • Blog
    • Contact
    • Locations
  • Akasha Team
    • Integrative Medical Doctors
      • Edison de Mello, MD, PhD
      • Maggie Ney, ND
      • Bren Boston, MD
      • Rachael Ross, MD, PhD
    • Psychology & Psychiatry
      • Swati Desai, PhD, LCSW
    • Acupuncture
      • Yi Qiao, LAc., OMD
    • Integrative Coaching
      • Gina Galvez, M.S., PA-C
    • Physical Therapy & Therapeutic Massage
      • Danél Lombard, MPT, MA, E-RYT
      • Kevin Kunkel, MA, CMT, CYT, LMFT
  • Akasha Services
    • Age Management
    • Bio-Identical Hormone Therapy
    • Integrative Medicine
    • Integrative Pain Management
    • Integrative Physical Therapy
    • IV Nutritional Therapy
    • Maternal Recovery Program
    • Meditation
    • Men’s Clinic (Men’s Health)
    • Naturopathic Medicine
    • Nutrition
    • Power Tools For Men
    • Prolotherapy
    • Psychology & Psychiatry
    • SIBO Program
    • Therapeutic Massage
    • Telehealth Services
    • Traditional Chinese Medicine
    • Women’s Clinic (Women’s Health)
    • VIP Wellness Program
  • Patient Services
    • New Patients
    • Make An Appointment
    • FAQs
    • Forms
    • Fees
    • Medical Billing
    • Hours of Operation
    • Pay for Services Online
    • Payment, Billing, Insurance & Medical Records
    • Prescriptions & Refills
    • Calendar
    • Newsletter
    • Directions & Parking
    • Contact
    • Covid-19 In Office Procedure
  • 21 Day Reset
  • Patient Testimonials
    • What Patients Say About Akasha
    • What Patients Say (continued)
  • New Patients
  • Make An Appointment
  • FAQs
  • Forms
  • Fees
  • Medical Billing
  • Hours of Operation
  • Pay for Services Online
  • Payment, Billing, Insurance & Medical Records
  • Prescriptions & Refills
  • Calendar
  • Newsletter
  • Directions & Parking
  • Contact
  • Covid-19 In Office Procedure

Forms

  • New Patient Checklist (Online Form)
  • New Patient Intake Form (Print Out/Fax)
    Please bring the intake form with you to your first visit. It is also helpful to bring copies of past medical records to support your medical history.
  • Notice of Privacy Practice (info only)
    Disclosure of your patient privacy rights.
    Read and understand your privacy rights of health and personal information.
  • Bioidentical Hormone Therapy Consent Form (Print Out/Fax)
  • Driving Directions & Parking

CONSENT to Release Records/Information:

  • Release Information TO Akasha Center FROM external source (Online form)
    Release Information TO Akasha Center FROM external source
    [Print Out/Fax]
  • Release Information FROM Akasha Center TO external source [Print Out/Fax]

How did you hear about us?
Click here to take survey

Testimonials

The Akasha center is great both medically and spiritually. Every person here is incredibly friendly. Dr. de Mello is not only brilliant and an expert, he is also k…
Guy Burnet Actor
In a health care landscape marked by harried doctors, defensive medicine, insurance company vetted treatments, and mis-managed care, the Akasha Center is an oasis of…
Roy Sekoff Editor, Huffington Post
I’m not fond of the antiseptic feeling that one generally gets when walking into a doctor’s office. I get the very opposite when I walk into the Akasha Center Lo…
Peter Horton Writer/Director
I visit the Akasha Center and see Dr. de Mello  for regular check-ups and preventative health. In addition to body wellness, The Akasha Center also cares for the he…
Jason Mraz Singer/ Songwriter
Nichole Agarwal photo
As a skeptic and a veterinarian trained in western medicine, I was very hesitant to try a holistic doctor. My 6 year old daughter had been to 2 Kaiser pediatricians …
Nichole Agarwal
Jarra Agarwal photo
Dr. de Mello helped my belly feel better when I was having stomach problems and he put me on a diet and now I feel much better than I was before! Then I started feel…
Jarra Agarwal
I have been using AKASHA Natural products for over three years. They are amazing and they work! Everyone comments about my level of energy and aliveness. What’s mo…
Mary Morrissey Speaker, Author
“I’ve had the great privilege of working closely with Dr. de Mello and his team at Akasha, while designing the best preventative integral health care protocol for me…
Arturo Muyshond Actor/Producer
Stacey Winick photo
My earnest desire was to find a Dr. that I could talk to. A doctor that would take the time to really listen. After going through some serious health issues, I wante…
Stacey Winick
Small photo of Maggie Nemser
I love the Akasha Center because everyone on staff is so warm and the practitioners are experts in the entire body. You will not get referred out to 10 specialists…
Maggie Nemser

Recent Posts

  • Not all Fats are Bad For You!
  • Coronavirus Has a Crush… on Sugar
  • Total Cholesterol Levels Misses the Mark for Assessing Heart Disease

Contact Information

Akasha Center for Integrative Medicine, LLC

520 Arizona Avenue
Santa Monica, CA 90401

Phone: (310) 451.8880
Fax: (310) 451.8803

Connect With Us

  • Facebook
  • Twitter
  • Youtube
  • RSS

© 2018 Akasha Center for Integrative Medicine.
All rights reserved.

Our Terms & Conditions / Privacy Policy  |  Admin Login