New Patient Appointment Request Form

Name

First Name

Last Name

Email

Subject

For what reason(s) are you seeking acupuncture?

How long have you been affected by this and how does it affect your life? *

Do you have experience with acupuncture and Chinese medicine?

Yes

No

How did you find Balance Acupuncture?

Phone

(###)

###

####

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As we march through election season and approach the holiday season, we can't think of a more perfect time to focus on your health and well-being. Whether you’re looking to address specific concerns or simply want to maintain peace of

At Balance, we believe that women’s health and women’s rights go hand in hand. Every woman deserves the support, education, and resources to understand her body, make informed choices, and feel empowered in every aspect of her well-being.

Kick off the month with a renewed sense of energy and balance✨

Regular acupuncture appointments play a vital role in maintaining your overall health, helping to relieve stress, boost immunity, and enhance emotional well-being.

Make self-care a pri

Have you tried an acupressure mat before? We highly recommend!! (And yes! we sell them at the clinic 😉) Using an acupressure mat between sessions is a great way to enhance your sessions and wellness! Here’s how:

✨Increased relaxation. The mat