Active Acupuncture Office
All fields are required
Type of Visit
Return Visit
Intial Visit
Herbal Consultation
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Office
Active Acupuncture Office
Requested time
Select a time below under Available Times
Office Address:
1701 Siskiyou Blvd #2 Ashland OR 97520
1701 Siskiyou Blvd #2 Ashland OR 97520
New and Existing patients can make appointments online.
Office Phone:
(541) 482-5483
Available Times
Previous Week
Next Week
Visit Length:
60 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment