Name *

First Name

Last Name

Phone *

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Schedule Request

Please let us know when you'd like to receive acupuncture at our clinic:

Friday: Community Acupuncture (3-4pm)

Friday: Community Acupuncture (4-5pm)

Friday: Community Acupuncture (5-6pm)

Friday: Community Acupuncture (walk-in between 3-6pm)

Monday: Individual Acupuncture

Wednesday: Individual Acupuncture

Friday: Individual Acupuncture

Cost of Sessions *

Community Acupuncture: $60 Individual Acupuncture: $110 Please let us know if you need support with sliding scale and we will do our best to accommodate your request at this time:

I do not need sliding scale at this time I need sliding scale to receive treatment

I need sliding scale in order to receive treatment