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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🔔Read for exciting news!!💗✨

We are hosting another In-House event with HerScan Breast Ultrasound Screening on December 13th!! These spots fill up quickly so visit the link in our bio to reserve your spot!💗

Did you know that acupuncture can play

December moodboard❤️✨ what are you looking forward to doing this December??
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#decembermood #christmastradition #christmasaesthetic #decembervibes #holistichealing #inspirational #charlestonsc

On this Small Business Saturday, we want to express our heartfelt gratitude to our amazing patients for your continued trust and support. Your loyalty helps us grow and serve this wonderful community. Thank you for choosing us, and for being a part o

✨ Feeling Grateful ✨

We just want to take a moment to say THANK YOU to our amazing community. You’ve made Balance Acupuncture such a special place, and we’re so grateful for the trust you’ve shown us on your wellness journey.

Our