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ABOUT
Acupuncture & Oriental Medicine
Our Acupuncture Center
Our Practitioners
OUR TREATMENT MODALITIES
Why Choose Sojourn?
What We Treat
Patient Info
New Patient Guidelines
Acupuncture Consent Form & Health History Form
“Side Effects” of Acupuncture
Patients’ Responsibilities
Commitment to Healing
Treatment Frequency
Cancellation & Lateness Policy
Insurance Information/Reimbursement
Our Services
Standard Acupuncture
Ear Acupuncture
Contact
FAQ
Appointment
Request Form
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Request Form
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Request an Appointment
Upon completing this form, you will receive a call for confirmation in 24 Hours. You can also call us @ (845)490-4466 for appointment.
Personal Information
First Name
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Last Name
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Email
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Phone
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Patient Type
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New Patient
Current Patient
Returning Patient
Service
Please Select Your Service
Body Acupuncture- 1st time visit ($120/90+ min)
Body Acupuncture - Return Visit(60 min)
Acupuncture for Stress Reduction& Relaxation Only-1st time visit ($65/60 min)
Ear Acupuncture-(30 min)
What is the main concern(s) that you are seeking treatment(s) for?
How did you find about us?
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Referral
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