Join Our Waitlist

By filling out the form below, you will be added to our waitlist. Please be detailed about your schedule and availability. When a spot opens up in our schedule that works with yours, we will contact you. Please note that afternoon and evening appointments are in high demand, and the wait will be longer.

Name

First Name

Last Name

Phone

(###)

###

####

What are you seeking help for?

What is your availability for treatments? (For example: Mondays after 3:00pm or Saturdays all day...etc) *

Please be as detailed as possible

How did you hear about Waterfront Acupuncture?

If you were sent to us by an existing patient, let us know so we can thank them!

I prefer to be contacted by:

Phone

I understand that Waterfront Acupuncture + Wellness, LLC does NOT accept insurance for acupuncture treatments, and I am willing to pay out of pocket.

I Understand