Request Appointment

Name

First Name

Last Name

Email

Phone

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Preferred days for Appointments

Preferred Times for Appointments

Points of Concern

Please let us know what you would like to see improved as a result of acupuncture.

What location would you like to be seen?

Kamuela (Waimea)

Kona

Payment options:

Self Pay: Cash, Check, CC

Insurance: We accept ASH (American Specialty Health), VA, WC, Auto

Not sure if my insurance covers treatments.