Menu Therapy Options Land Physical Therapy Aquatic Physical Therapy AcupunctureLocationsTestimonialsForms/FormasContact Us Coronavirus Update Make an Appointment Menu Therapy Options Land Physical Therapy Aquatic Physical Therapy AcupunctureLocationsTestimonialsForms/FormasContact Us Coronavirus Update LYG Attorney Medical Lien Acknowledgement Patient Name/Nombre de Paciente* First Last Patient Email* Date of Injury Date Format: MM slash DD slash YYYY Date signed* Date Format: MM slash DD slash YYYY The undersigned being attorney or record for the above patient does hereby agree to observe all terms of the above and agrees to withhold such sums form any settlement, judgement or verdict as may be necessary to adequately protect said acupuncture provider: LYG/Dragon EyeAttorney Name* First Last Attorney's signature MAIN OFFICE 1809 E. Dyer Rd. #313 Santa Ana CA 92705 Fax (949) 975-0070 No Referral Needed Make an Appointment MAIN OFFICE 1809 E. Dyer Rd. #313 Santa Ana CA 92705