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Schedule An Appointment
There are two ways to schedule an appointment with our Registered Acupuncturist:
Contact our office or Acupuncturist directly via
email
or by calling us at
(614) 264-1086.
Fill out the form below and you will receive a confirmation email or phone call in one business day.
Referral Form Download
Required fields are:
first name
,
last name
and either a
phone number
or
email address
so that we may contact you.
1st Choice - Appt Time/Day
2nd Choice - Appt Time/Day
Day
Time
Day
Time
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Appointment date:
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No Preference
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
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Appointment date:
clear
No Preference
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
First Name:
Last Name:
Middle Initial:
Contact Phone:
Email Address:
Gender:
Male
Female
Chief Complaint:
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