Request an Acupuncture Appointment

Share your preferred time. Our clinic will contact you to confirm availability.

Full Name

First

Last

Notes for the Clinic (optional)

Please do not include detailed medical information here.

Mobile Phone

We will text this number to confirm your appointment.

First Preferred Date & Time

Second Preferred Date & Time (optional)

Client Type

Acupuncture Service

Preferred Duration

Time Service Mobile

Privacy and Appointment Consent

I consent to WS Acupuncture & Massage Clinic collecting and using the information above to respond to this appointment request and contact me by text or phone.

Payment / Insurance

12-Hour Cancellation Policy

I have read and agree that cancellations or rescheduling with less than 12 hours' notice may be charged 50% of the appointment fee, and no-shows may be charged 100%.

WS