Thank you for considering me to be a part of your health and wellness team!

If you would like to book an appointment, please click the “Online Booking” button or fill out the form below with your preferred days and times. For questions about fees and insurance, please visit the Fees & Insurance page. I try to respond to all emails within 2 business days. If you do not receive a response within this time, please check your Spam/Junk folders.

Online Booking

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Do you prefer a call or text?

Call

Text

Message

If you would like to schedule a phone consultation or appointment, please provide the days and times that work best for you.

How did you hear about Tranquility Base Acupuncture?

Insurance Verification

If your plan is an HMO, EPO, Medicaid, or Medicare plan, services will not be covered here.

Insurance Company

Cigna or Aetna plans are not accepted at this time, but an itemized invoice will be happily provided for you to submit claims yourself.

Plan ID

Date of Birth

MM

DD

YYYY

Reason for Visit

Note: insurance plans will only cover acupuncture services based on medical necessity. Almost all plans WILL NOT cover acupuncture services for infertility, weight loss, or cosmetic reasons.